Individual
ELISA LOPEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10092284-2401
UT
225100000X
Physical Therapist
25294
MD
225100000X
Physical Therapist
Primary
3447
NV
225100000X
Physical Therapist
61971
OR
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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