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Organization
THERASPACE LLC
Active
Organization
THERASPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON LOPEZ DOCTOR (PRESIDENT/ PHYSICAL THERAPIST)
(786) 553-1606
Entity
Organization
Contact information
Practice address
125 CYPRESS DRIVE, SPRING LAKE, NC 28390
(305) 794-7185
Mailing address
125 CYPRESS DRIVE, SPRING LAKE, NC 28390
(305) 794-7185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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