Individual
ANDREA E LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3128 BOXELDER DR, CHEYENNE, WY 82001-5808
(307) 634-7901
Mailing address
3128 BOXELDER DR, CHEYENNE, WY 82001-5808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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