Individual
STEFFANNY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2540 30TH RD APT A1, ASTORIA, NY 11102-2660
(347) 396-5612
Mailing address
2824 STEINWAY ST, ASTORIA, NY 11103-3332
(347) 257-9352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011349
NY
Other
Enumeration date
11/09/2016
Last updated
12/04/2017
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