Individual
JENNIFER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
BRINLEE CREEK RANCH ROAD, ANNA, TX 75409-7507
(972) 838-2602
Mailing address
3340 WOODBERRY LN, MCKINNEY, TX 75071-3260
(972) 837-3039
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1094340
TX
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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