Individual
DAVID LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
7686 RICHMOND HWY STE 110, ALEXANDRIA, VA 22306-2800
(667) 210-2149
(667) 210-2167
Mailing address
4703 LAWRENCE ST, ALEXANDRIA, VA 22309-1115
(667) 210-2149
(667) 210-2167
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
CPO0214
DE
222Z00000X
Orthotist
CPO02014
MD
222Z00000X
Orthotist
CPO02014
VA
224P00000X
Prosthetist
CPO02014
MD
224P00000X
Prosthetist
Primary
CPO02014
VA
Other
Enumeration date
05/04/2006
Last updated
06/15/2026
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