Individual
KELSEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 HARVEST CT, LAFAYETTE, IN 47905-8890
(317) 410-1021
Mailing address
5345 HARVEST CT, LAFAYETTE, IN 47905-8890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005558A
IN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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