Individual
JUAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
117 MCNARY ESTATES DR N, KEIZER, OR 97303-7459
(503) 400-7717
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5200
OR
Other
Enumeration date
05/07/2007
Last updated
04/13/2021
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