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Individual
EDGAR LOPEZ HERRERA
Active
Individual
EDGAR LOPEZ HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304680
CA
2251X0800X
Orthopedic Physical Therapist
304680
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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