Individual
JONATHAN LOPEZ SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTAIN
Contact information
Practice address
6625 W LINCOLN HWY LOWR LEVEL, CROWN POINT, IN 46307-9678
(219) 440-5360
Mailing address
1544 ATLAS ST, HAMMOND, IN 46320-1411
(219) 776-0960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006065A
IN
Other
Enumeration date
07/27/2020
Last updated
07/28/2020
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