Individual
CAROLYN V LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
4811 TUDOR DRIVE, POMPTON PLAINS, NJ 07444-1126
(201) 281-4012
Mailing address
4811 TUDOR DR, POMPTON PLAINS, NJ 07444-1126
(973) 839-1457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA01013400
NJ
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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