Individual
CHRISTIAN MIGUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4898
(718) 894-8960
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030765
NY
Other
Enumeration date
10/21/2008
Last updated
04/09/2021
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