Individual
JILLIAN SCHWAB LORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(865) 392-2849
Mailing address
4532 HUDGINS DR, VIRGINIA BEACH, VA 23455-6418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306604167
LPTA LICENSE
VA
Enumeration date
05/11/2021
Last updated
05/11/2021
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