Individual
PROF. MATT JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1307 OLD JEANERETTE RD, SUITE 102, NEW IBERIA, LA 70563-5801
(337) 367-3331
(337) 367-6494
Mailing address
1307 OLD JEANERETTE RD, SUITE 102, NEW IBERIA, LA 70563-5801
(337) 367-3331
(337) 367-6494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08347
LA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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