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1477288900
EDGARDO RIVERA LOPEZ
SAN ANTONIO, TX
NPI
1477288900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: TX 1362473)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
EDGARDO RIVERA LOPEZ PT, DPT, CSCS
4301 BROADWAY
SAN ANTONIO, TX 78209-6318
Phone number: 210-829-6017
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Mailing Address
EDGARDO RIVERA LOPEZ PT, DPT, CSCS
215 N LOOP 1604 E
SAN ANTONIO, TX 78232-1276
Phone number: 787-414-6576
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