Individual
ASHLEY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 KARYL CT, WATERVILLE, OH 43566-1041
(734) 693-0969
Mailing address
82 KARYL CT, WATERVILLE, OH 43566-1041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018899
MI
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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