XAN LOPEZ

BROOKFIELD, IL
NPI1255039988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160008438)
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
XAN LOPEZ PTA
8700 31ST ST
BROOKFIELD, IL 60513-1000
Phone number: 708-485-1155
Mailing Address
XAN LOPEZ PTA
3715 WESLEY AVE
BERWYN, IL 60402-4025
Phone number: 708-336-8314
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