Individual
CORONEL EINNA-ERNEST LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5325 GRAPE RD STE C, MISHAWAKA, IN 46545-1474
(574) 404-8405
(574) 314-9034
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10060
AZ
Other
Enumeration date
12/03/2012
Last updated
03/16/2023
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