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Individual

RAFAEL LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
440 N CAMINO MERCADO, CASA GRANDE, AZ 85122-5749
(520) 836-7996
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31324
AZ

Other

Enumeration date
10/14/2020
Last updated
07/31/2024
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