Individual
CARLOS JAMES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1405 E EDISON AVE, SUNNYSIDE, WA 98944-1622
(509) 837-7400
Mailing address
PO BOX 540640, NORTH SALT LAKE, UT 84054-0640
(801) 987-8600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160546979
WA
Other
Enumeration date
04/06/2023
Last updated
11/13/2024
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