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NPI Code Detail

MEDICARE: RENALD RHOI GAYADOS LOPEZ PT

MEDICARE: RENALD RHOI GAYADOS LOPEZ PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP24509NC

General Provider Information

NPI Number : 1700744224
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENALD RHOI GAYADOS LOPEZ PT
Provider Business Mailing Address
First Line : 3401 VILLAGE DR STE 101
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4517
Country : US
Telephone Number : 910-483-9300
Fax Number :
Provider Business Practice Location Address
First Line : 3401 VILLAGE DR STE 101
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4517
Country : US
Telephone Number : 910-483-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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