Provider Demographics
NPI:1760711089
Name:LOPEZ, SARAH LYNN (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:STEFFENSMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:439 TRINITY CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4459
Mailing Address - Country:US
Mailing Address - Phone:319-331-3111
Mailing Address - Fax:
Practice Address - Street 1:439 TRINITY CT
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4459
Practice Address - Country:US
Practice Address - Phone:319-331-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031988225100000X
IL070019679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist