| NPI | 1295306504 |
|---|---|
| Other Name | RYAN CHRISTOPHER LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP006406T) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |