Individual
BRIANNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1770 N HICKS RD, FOREST GROVE ATHELTIC CLUB, PALATINE, IL 60074-2339
(847) 776-0106
(847) 776-0134
Mailing address
1770 N HICKS RD, PALATINE, IL 60074-2339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015311
IL
Other
Enumeration date
02/12/2007
Last updated
02/16/2009
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