Individual
JULISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30837 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-4039
(818) 879-2091
Mailing address
30837 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-4039
(818) 879-2091
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51764
CA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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