Individual
MS. KRISTIN LYNN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201
(586) 532-3370
Mailing address
122 MAXWELL AVE, ROYAL OAK, MI 48067-2220
(586) 438-3456
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501010022
MI
Other
Enumeration date
12/27/2007
Last updated
05/30/2018
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