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Mr. Michael Jonathon Lopez, PTA
Specialist in Elida, Ohio
NPI 1326290958

Michael Jonathon Lopez is a Specialist based in Elida, OH. Michael Jonathon Lopez practices in Elida, OH and has the professional credentials of PTA. The NPI Number for Michael Jonathon Lopez is 1326290958 and holds a License No. PTA.07095 (Ohio).

The current practice location address for Michael Jonathon Lopez is 116 Orchard Dr, Elida, OH and can be reached out via phone at 937-399-9217.

Location: 116 Orchard Dr, Elida, OH, 45807-1081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326290958
Provider Name
Michael Jonathon Lopez
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
116 Orchard Dr, Elida, OH, 45807-1081
Phone Number
937-399-9217
Fax Number
Provider Enumeration Date
10/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 Orchard Dr
City
Elida
State
Ohio
Zip
45807-1081
Phone Number
937-399-9217
Fax Number
person
Provider Business Mailing Address Details
Address
116 Orchard Dr
City
Elida
State
Ohio
Zip
45807-1081
Phone Number
937-399-9217
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PTA.07095 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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