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Individual

SEBASTIAN ALFREDO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
402 N I 45, ENNIS, TX 75119-3402
(469) 517-5500
(903) 389-7631
Mailing address
PO BOX 1241, CORSICANA, TX 75151-1241
(903) 874-7433
(903) 389-7631

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1406869
TX
261QP2000X
Physical Therapy Clinic/Center
Primary
1406869
TX

Other

Enumeration date
06/06/2025
Last updated
04/06/2026
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