Individual
MISS LEAH GRACE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
12103 ROYALWOOD CT, FISHERS, IN 46037-3936
(317) 594-9670
(317) 594-9670
Mailing address
12103 ROYALWOOD CT, FISHERS, IN 46037-3936
(317) 594-9670
(317) 594-9670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007542A
IN
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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