Individual
THEODORE JAKOB LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11100 HIGHWAY 165 STE 5, NORTH LITTLE ROCK, AR 72117-9781
(501) 945-0200
(501) 945-0245
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5197
AR
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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