Individual
ELISA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
871 OLD ALICE RD STE 600, BROWNSVILLE, TX 78520-8274
(956) 541-2102
Mailing address
871 OLD ALICE RD STE 600, BROWNSVILLE, TX 78520-8274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025914
TX
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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