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Individual
VICTORIA ANNE LOPEZ
Active
Individual
VICTORIA ANNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1216613
TX
225100000X
Physical Therapist
PT60135208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8895452
MEDICARE
WA
Enumeration date
09/08/2010
Last updated
07/15/2024
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