Healthcare Provider Details

I. General information

NPI: 1942209408
Provider Name (Legal Business Name): BRIAN P. LAMBERT PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 SPOTNAP RD SUITE C-5
CHARLOTTESVILLE VA
22911-8614
US

IV. Provider business mailing address

113 MILL CREEK DR
CHARLOTTESVILLE VA
22902
US

V. Phone/Fax

Practice location:
  • Phone: 434-977-6700
  • Fax: 434-977-6779
Mailing address:
  • Phone: 434-296-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305002319
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: