Individual
EDWIN EFREN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
821 N NELLIS BLVD STE 130, LAS VEGAS, NV 89110-5387
(702) 452-4563
(702) 452-6704
Mailing address
2068 N GATEWAY RD, LAS VEGAS, NV 89115-5334
(702) 204-2499
(702) 204-2499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4347
NV
Other
Enumeration date
08/08/2020
Last updated
11/04/2022
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