Individual
DANIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3 HORTON PL, TOPSHAM, ME 04086-1745
(207) 798-6921
(207) 798-6829
Mailing address
3 HORTON PL, TOPSHAM, ME 04086-1745
(207) 798-6921
(207) 798-6829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3628
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713279
—
MA
01
—
Y68678
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/13/2007
Last updated
08/09/2012
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