Individual
SHEREE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
(623) 536-9911
Mailing address
8213 W CORRINE DR, PEORIA, AZ 85381-9039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013933
AZ
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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