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Individual

TANIA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2041 W VISTA WAY, VISTA, CA 92083-6013
(760) 659-0025
Mailing address
539 CALLE CAPISTRANO, SAN MARCOS, CA 92069-8306

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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