Provider Demographics
NPI:1306912431
Name:LALONDE, BARRY J (RPT)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:J
Last Name:LALONDE
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 VETERANS PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-3540
Mailing Address - Country:US
Mailing Address - Phone:800-324-6661
Mailing Address - Fax:334-732-3646
Practice Address - Street 1:117 OAKLAND PKWY
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-7201
Practice Address - Country:US
Practice Address - Phone:229-483-0055
Practice Address - Fax:334-732-3646
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist