Ashley Lopez, | |
82 Karyl Ct, Waterville, OH 43566-1041 | |
(734) 693-0969 | |
Not Available |
Full Name | Ashley Lopez |
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Gender | Female |
Speciality | Physical Therapist |
Location | 82 Karyl Ct, Waterville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316634447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501018899 (Michigan) | Primary |
Provider Name | Mini Mitten Pediatric Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528655826 PECOS PAC ID: 7113334996 Enrollment ID: O20210323000530 |
Mailing Address | Practice Location Address |
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Ashley Lopez, 82 Karyl Ct, Waterville, OH 43566-1041 Ph: () - | Ashley Lopez, 82 Karyl Ct, Waterville, OH 43566-1041 Ph: (734) 693-0969 |
Alana Bedal, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Anthony Wayne Trl, Waterville, OH 43566 Phone: 419-898-3901 | |
Dr. Sarah M Griffith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7048 Shadowridge Dr, Waterville, OH 43566 Phone: 734-777-4950 | |
Jacqueline Kossow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Anthony Wayne Trl, Waterville, OH 43566 Phone: 419-878-3901 | |
Sean Cameron Tracey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Anthony Wayne Trl, Waterville, OH 43566 Phone: 419-878-3901 Fax: 419-878-6872 |