Individual
CHRISTIAN ADOLFO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
33 DEAK DR STE 101, SMYRNA, DE 19977-1268
(302) 659-5700
Mailing address
3115 NEW CASTLE AVE TRLR 5, NEW CASTLE, DE 19720-2168
(302) 464-9635
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001281
DE
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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