Individual
RICHARD LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10535 E OAK CREEK VALLEY DR, CORNVILLE, AZ 86325-5806
(928) 649-5821
Mailing address
10535 E OAK CREEK VALLEY DR, CORNVILLE, AZ 86325-5806
(928) 649-5821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7908
AZ
Other
Enumeration date
12/05/2007
Last updated
07/10/2009
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