Individual
JESLY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12055 SABO RD APT 1017, HOUSTON, TX 77089-6290
(786) 256-9319
Mailing address
12055 SABO RD APT 1017, HOUSTON, TX 77089-6290
(786) 256-9319
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1214416
TX
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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