Individual
HONEY LARAINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20910 SR 410 E, BONNEY LAKE, WA 98391-6302
(253) 862-2575
(253) 862-2675
Mailing address
20910 SR 410 E, BONNEY LAKE, WA 98391-6302
(253) 888-2557
(253) 862-2675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61209607
WA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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