Individual
ALYSSA JANAY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 E EXPY 83, MERCEDES, TX 78570-5008
(956) 565-9500
Mailing address
1307 E 29TH ST, MISSION, TX 78574-3779
(956) 960-8196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2139862
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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