Individual
ANGELICA C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 15TH DR, VERNON, TX 76384-6521
(580) 919-9579
Mailing address
2906 15TH DR, VERNON, TX 76384-6521
(580) 919-9579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2133790
TX
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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