Individual
MARIA BERNARDA LOPEZ BARRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10522 PRINCETON ST, JAMAICA, NY 11435-5008
(347) 757-1504
Mailing address
10522 PRINCETON ST, JAMAICA, NY 11435-5008
(347) 757-1504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014149
NY
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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