Individual
JOANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
417 W YELM AVE, YELM, WA 98597-8819
(360) 458-6400
Mailing address
417 W YELM AVE, YELM, WA 98597-8819
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT25145
FL
225100000X
Physical Therapist
Primary
PT 60623654
WA
Other
Enumeration date
11/30/2009
Last updated
02/12/2018
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