Individual
ANTIONETTE LYNN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
752 S FLEMING DR, PUEBLO WEST, CO 81007-7547
(719) 248-2263
Mailing address
752 S FLEMING DR, PUEBLO WEST, CO 81007-7547
(719) 248-2263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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