Individual
JESUS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
871 RIDGEWAY LOOP RD STE 100, MEMPHIS, TN 38120-4026
(615) 850-3773
Mailing address
805 ARRINGTON WAY, COLUMBIA, TN 38401-1689
(925) 321-3730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7664
TN
Other
Enumeration date
11/05/2020
Last updated
11/18/2021
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