Individual
ANNALESE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27350 NICOLAS RD, TEMECULA, CA 92591-7349
(844) 502-7996
Mailing address
11346 WARMINGTON ST, RIVERSIDE, CA 92503-5812
(951) 880-7802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299455
PT LICENSE
CA
Enumeration date
01/18/2021
Last updated
03/23/2026
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