Individual
MRS. DARLENE JANETTE GONZALES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
606 COYOTE TRL, ALICE, TX 78332-4004
(361) 664-5479
Mailing address
10329 BEVERLY HILLS DR, CORPUS CHRISTI, TX 78410-2214
(361) 510-7655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2049583
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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