Individual provider · Type 1 NPI

Amanda Kathleen Lopez

Pediatric Physical Therapist · Park Ridge, IL

NPI number 1407735012 Active

Practice location

1675 Dempster St
Park Ridge, IL 60068-1110

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 3232 Lake Ave, Wilmette, IL 60091-1073 · (224) 266-9411

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070.029149 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

151 other providers at this address

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About NPI 1407735012

Amanda Kathleen Lopez's National Provider Identifier is 1407735012, issued on Aug 28, 2025. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Park Ridge, IL. The record was last updated on Nov 21, 2025.