Individual
CARLA MARIBEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
200 SOUTHWEST BLVD, KANSAS CITY, MO 64108-2019
(816) 842-1146
Mailing address
200 SOUTHWEST BLVD, KANSAS CITY, MO 64108-2019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1258846
TX
Other
Enumeration date
06/02/2015
Last updated
11/17/2015
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