Graceanne Lopez

NPI #1184389413 in East Northport, New York

Provider Information

NPI Number: 1184389413
Entity Type: Individual
Name: Graceanne Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 2, 2021
Last Updated: Nov 2, 2021

Practice Location

Address: 3072 JERICHO TPKE
City: East Northport
State: New York
ZIP Code: 11731
Phone: (631) 462-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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