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Individual

DANIEL LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19049 E VALLEY VIEW PKWY STE H, INDEPENDENCE, MO 64055-7026
(816) 795-8944
Mailing address
5540 NEWBURY AVE, SAN BERNARDINO, CA 92404-2952

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025032695
MO

Other

Enumeration date
08/14/2025
Last updated
08/14/2025
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