Individual
SALVADOR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4202 E FOWLER AVE, ATH 100, TAMPA, FL 33620-8000
(813) 974-0669
Mailing address
4202 E FOWLER AVE, ATH 100, TAMPA, FL 33620-8000
(813) 974-0669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3624
FL
Other
Enumeration date
06/22/2014
Last updated
06/22/2014
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