Individual
NATHAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
35023 MISSION HILLS DR. N UNIT A, RANCHO MIRAGE, CA 92270
(760) 699-7236
Mailing address
74260 ASTER DR, PALM DESERT, CA 92260-2645
(760) 636-2455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53386
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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