Loretta Forman, P.T.

NPI #1134125289 in Midlothian, Virginia

Provider Information

NPI Number: 1134125289
Entity Type: Individual
Name: Loretta Forman, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 23, 2005
Last Updated: Aug 18, 2010

Practice Location

Address: 11621 ROBIOUS RD
City: Midlothian
State: Virginia
ZIP Code: 23113-2349
Phone: (804) 794-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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