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1366170805
SELENE QUETZAL LOPEZ
EVANSVILLE, IN
NPI
1366170805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05015351A)
Enumeration Date
2022-08-11
Last Update Date
2024-03-19
Business Address
SELENE QUETZAL LOPEZ PT, DPT
201 SE 4TH STREET SUITE 150
EVANSVILLE, IN 47713-1350
Phone number: 812-461-6716
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Mailing Address
SELENE QUETZAL LOPEZ PT, DPT
5040 VANDELIA ST
DALLAS, TX 75235-8848
Phone number: 830-719-3594
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