MR. Michael Jonathon Lopez, PTA

NPI #1326290958 in Elida, Ohio

Provider Information

NPI Number: 1326290958
Entity Type: Individual
Name: MR. Michael Jonathon Lopez, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Oct 14, 2008
Last Updated: Oct 14, 2008

Practice Location

Address: 116 ORCHARD DR
City: Elida
State: Ohio
ZIP Code: 45807-1081
Phone: (937) 399-9217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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