Individual
VERNIER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8720 EMGE RD, BALTIMORE, MD 21234-3504
(410) 668-1961
Mailing address
8720 EMGE RD, BALTIMORE, MD 21234-3504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4758
MD
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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