Individual
ALICIA LYNN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
379 MT HOPE RD, MIDDLETOWN, NY 10940-7135
(845) 344-2292
Mailing address
18 GROVE ST, APT 2F, MIDDLETOWN, NY 10940-4806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008749-1
NY
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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