Individual
MARCELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2320
(214) 421-2159
Mailing address
5604 LEWIS ST APT C, DALLAS, TX 75206-8073
(254) 760-9735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074690
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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