Individual
ANDREA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
817 HICKORY ST, SANTA ANA, CA 92701-6041
(714) 392-9290
Mailing address
817 HICKORY ST, SANTA ANA, CA 92701-6041
(714) 392-9290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41346
CA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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