Individual
JOHN RYAN LOPEZ DE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4541 PHILADELPHIA ST STE C103, CHINO, CA 91710-2250
(909) 590-7997
Mailing address
9301 SHADOWOOD DR APT G, MONTCLAIR, CA 91763-1937
(909) 575-7431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52710
CA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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