Individual
CARLOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1125 FORREST AVE, SUITE 101, DOVER, DE 19904-3483
(302) 735-4900
(302) 735-4671
Mailing address
108 KATRINA WAY APT 203, DOVER, DE 19904-5921
(361) 960-3379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002526
DE
Other
Enumeration date
06/02/2010
Last updated
07/01/2010
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