Individual
JONATHAN D. ORLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
37155 REHOBOTH AVENUE EXT, REHOBOTH BEACH, DE 19971-3194
(302) 227-2008
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207578
VA
225100000X
Physical Therapist
Primary
J1-0014274
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407103468
—
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
01
—
P01113966
MEDICARE RR PTAN
VA
Enumeration date
08/09/2012
Last updated
11/05/2020
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