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Edgardo Rivera Lopez, PT,DPT,CSCS
Sports Physical Therapist in San Antonio, Texas
NPI 1477288900

Edgardo Rivera Lopez is a Sports Physical Therapist based in San Antonio, TX and is specialized in Sports. Edgardo Rivera Lopez practices in San Antonio, TX and has the professional credentials of PT,DPT,CSCS. The NPI Number for Edgardo Rivera Lopez is 1477288900 and holds a License No. 1362473 (Texas).

The current practice location address for Edgardo Rivera Lopez is 4301 Broadway, San Antonio, TX and can be reached out via phone at 210-829-6017.

Location: 4301 Broadway, San Antonio, TX, 78232-1276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477288900
Provider Name
Edgardo Rivera Lopez
Credential
PT,DPT,CSCS
Provider Entity Type
Individual
Gender
Male
Address
4301 Broadway, San Antonio, TX, 78232-1276
Phone Number
210-829-6017
Fax Number
Provider Enumeration Date
07/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1362473 05 TX
institution
Provider Business Practice Location Address Details
Address
4301 Broadway
City
San Antonio
State
Texas
Zip
78209-6318
Phone Number
210-829-6017
Fax Number
person
Provider Business Mailing Address Details
Address
4301 Broadway
City
San Antonio
State
Texas
Zip
78209-6318
Phone Number
210-829-6017
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
1362473 (Texas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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