Individual
BRAYAN FERNANDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-6500
(716) 250-6560
Mailing address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-6500
(716) 250-6560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040781
NY
Other
Enumeration date
09/12/2016
Last updated
04/21/2022
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