Individual
JEFFREY DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1483 GADSDEN HWY, STE 112, BIRMINGHAM, AL 35235-3160
(205) 655-9222
(205) 655-9233
Mailing address
1483 GADSDEN HWY, STE 112, BIRMINGHAM, AL 35235-3160
(205) 655-9222
(205) 655-9233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4514
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530179
BCBS OF AL
AL
Enumeration date
07/20/2006
Last updated
09/17/2010
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