Individual
ABRAHAM LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
9689 BASE LINE RD, RANCHO CUCAMONGA, CA 91730-1314
(909) 646-3663
Mailing address
2340 NOTRE DAME AVE, POMONA, CA 91766-6436
(909) 753-6145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
306651
CA
Other
Enumeration date
08/13/2024
Last updated
05/27/2025
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