Most Relevant Information
Provider Data
| NPI Number: | 1003358995 |
| Provider Name: | STEFFANNY LOPEZ PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 011349 |
Most Important Dates
| Enumeration Date: | 11/09/2016 |
| Last Updated: | 12/04/2017 |
Provider Practice Location
2540 30TH RD APT A1
ASTORIA
NY
111022660
Practice Location Phone/Fax
| Phone: | 3473965612 |
| Fax: |
Provider Mailing Location
2824 STEINWAY ST
ASTORIA
NY
111033332
Provider Mailing Phone/Fax
| Phone: | 3472579352 |
| Fax: |