Individual
RAQUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1821 WILSHIRE BLVD, SUITE 400, SANTA MONICA, CA 90403-5618
(310) 828-2188
Mailing address
921 N SIERRA BONITA AVE, APT 3, WEST HOLLYWOOD, CA 90046-6559
(313) 686-0784
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT292273
CA
Other
Enumeration date
03/12/2017
Last updated
03/17/2017
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