Individual
JOSEPH M. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
100 ALMSHOUSE ROAD, RICHBORO, PA 18954
(215) 357-2000
Mailing address
2703 LEVICK ST, PHILADELPHIA, PA 19149-2941
(215) 758-7408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00217000
NJ
2255A2300X
Athletic Trainer
Primary
RTO000230
PA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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