NPI 1518978113

Mark Stephan Lopez

Practitioner Physical Therapy Assistant Rancho Santa Margarita, CA

Practice location

Address: 17 Willowbrook Ln, Rancho Santa Margarita, CA 92688-5514
Phone: (949) 858-9619
Mailing address: 17 Willowbrook Ln., Rancho Santa Margarita, CA 92688

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT 4217 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1518978113
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.