Anthony Lopez, ATC

NPI #1891221958 in Crestwood, Illinois

Provider Information

NPI Number: 1891221958
Entity Type: Individual
Name: Anthony Lopez, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prevention Professional
Credential: ATC
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 14011 KENTON AVE
City: Crestwood
State: Illinois
ZIP Code: 60445-2252
Phone: (219) 794-4653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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