EDGAR LOPEZ

JOLIET, IL
NPI1952991192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.009139)
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
EDGAR LOPEZ PTA
1831 SCHUSTER AVE
JOLIET, IL 60433-9551
Phone number: 815-585-3984
Mailing Address
EDGAR LOPEZ PTA
1831 SCHUSTER AVE
JOLIET, IL 60433-9551
Phone number: 815-585-3984
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