Individual
MR. ERNESTO LOPEZ GRECIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
EXECUTIVE CENTER II, 3290 NORTH RIDGE ROAD, SUITE 290, ELLICOTT, MD 21043
(410) 292-4008
Mailing address
EXECUTIVE CENTER II, 3290 NORTH RIDGE ROAD, SUITE 290, ELLICOTT, MD 21043
(410) 292-4008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22583
MD
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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