Individual
DANIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16259 SYLVESTER RD SW STE 102, BURIEN, WA 98166-3094
(206) 242-5186
Mailing address
2204 LOMBARD AVE, EVERETT, WA 98201-2334
(425) 377-3039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61087810
WA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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