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 |