Individual
ANGELICA ELIZABETH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
250 ARROWOOD DR, CLARKSVILLE, TN 37042-5186
(931) 245-4700
Mailing address
1521 CITADEL CT, CLARKSVILLE, TN 37042-2687
(915) 801-8141
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14107
TN
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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