CORONEL EINNA-ERNEST LOPEZ

MISHAWAKA, IN
NPI1013252089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  10060)
Enumeration Date2012-12-03
Last Update Date2023-03-16
Business Address
CORONEL EINNA-ERNEST LOPEZ DPT
5325 GRAPE RD STE C
MISHAWAKA, IN 46545-1474
Phone number: 574-404-8405
Mailing Address
CORONEL EINNA-ERNEST LOPEZ DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200
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