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
VA
224P00000X
Prosthetist
Primary
CPO02014
VA
Other
Enumeration date
05/04/2006
Last updated
05/11/2026
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