Individual
MONIQUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
50 E FOOTHILL BLVD STE 100, ARCADIA, CA 91006-2314
(626) 445-2400
(626) 445-2419
Mailing address
1801 GARVEY AVE APT 304, ALHAMBRA, CA 91803-5218
(949) 606-6998
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT292274
CA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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