Jacob Lopez, DPT
Physical Therapist in Cypress, CA. Individual provider (NPI-1).
NPI number1104670710
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1104670710
- Entity type
- Individual (NPI-1)
- Name
- Jacob Lopez
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2024
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 305396 | CA | Yes |
Practice location
9827 Walker StCypress, CA 90630-3826
Phone 714-220-9001
Mailing address
5530 Ackerfield Ave Unit 105Long Beach, CA 90805-4905
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