Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORETTA FORMAN, P.T.
ActiveLORETTA FORMAN, P.T. is a Physical Therapy Assistant healthcare provider located in MIDLOTHIAN, Virginia. NPI 1134125289 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MIDLOTHIAN, VA
Registration Details
- NPI Number
- 1134125289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2005 (21.116364771953 yrs)
- Last Updated
- Aug 18, 2010
- License
-
2305003625 (VA)
Practice Information
- Address
-
11621 ROBIOUS RDMIDLOTHIAN, VA, 231132349Browse VA providers · Browse ZIP 23113
- Phone
- 8047947587
- Fax
- 8047944560
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MIDLOTHIAN, VA
| Name | Credential | NPI |
|---|---|---|
| DIANE CRANENDONK | PT, OCS | 1285631283 |
| LORI MAGNUSON | P.T. | 1275531253 |
| MS. MARYANN THERESA DOMINGUEZ | PT | 1437158102 |
| ERIC LAWRENCE JORDE | PT | 1154304780 |
| MR. TIMOTHY JAMES WITTENAUER | — | 1417933953 |
| LEE FESSLER GATEWOOD | MSHS | 1932186350 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.