Individual
PEDRO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10484 CITATION DR, SUITE200, BRIGHTON, MI 48116-6565
(810) 225-7638
(810) 225-7680
Mailing address
10484 CITATION DR, SUITE200, BRIGHTON, MI 48116-6565
(810) 225-7638
(810) 225-7680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/06/2009
Last updated
09/06/2009
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