Jacob Adam Lopez
Jacob Adam Lopez is a Physical Therapist in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
960 S Broadway Ave Ste 200Boise, ID 83706-3667
Phone: (208) 433-9211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1386349645 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2023 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
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