Individual ProviderPaul A LopezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3097 Moorpark Ave Ste 100, San Jose, CA 95128-2543(669) 247-6170(408) 786-8962PECOS EnrollmentBased on the most recent information from CMS, provider Paul A Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1912733890Provider TypeIndividualFull NameLopez, Paul AGenderMaleSole ProprietorNoEnumeration Date9/9/2024Last Updated9/9/2024Contact InformationPractice LocationPractice Address3097 Moorpark Ave Ste 100, San Jose, CA 95128-2543Phone(669) 247-6170FaxUnlisted FaxMailing LocationMailing Address1996 Hicks Ave, San Jose, CA 95125-3927Phone(408) 786-8962FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer