Most Relevant Information
Provider Data
NPI Number: | 1003521956 |
Provider Name: | ELIZABETH LOPEZ BA |
Entity Type: | Individual |
Taxonomy Code: | 225C00000X |
Specialty: | Rehabilitation Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 01/16/2023 |
Last Updated: | 01/16/2023 |
Provider Practice Location
1041 W BRIDGE ST STE 5B
PHOENIXVILLE
PA
194604342
Practice Location Phone/Fax
Phone: | 6104159301 |
Fax: |
Provider Mailing Location
1041 W BRIDGE ST STE 5B
PHOENIXVILLE
PA
194604342
Provider Mailing Phone/Fax
Phone: | 6104159301 |
Fax: |