Individual
JOHN-ROBERT MANUEL LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 643-0905
Mailing address
120 CENTENNIAL AVE, GLOUCESTER, MA 01930-2563
(978) 985-8163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8035
MA
Other
Enumeration date
02/13/2007
Last updated
04/29/2011
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