Individual
ANDREA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT,CSCS
Contact information
Practice address
49 MONTROSE AVE, BROOKLYN, NY 11206-2580
(718) 473-3808
Mailing address
485 BROAD ST, CARLSTADT, NJ 07072-1140
(201) 370-2162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046815
NY
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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