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Individual

DR. JOSHUA RYAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1081 KATHLEEN AVE, KINGMAN, AZ 86401-3918
(928) 753-5580
Mailing address
3827 HERITAGE LN, KINGMAN, AZ 86409-0519
(210) 705-4008

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013290
AZ

Other

Enumeration date
09/26/2018
Last updated
06/07/2024
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