| NPI | 1598889313 |
|---|---|
| Former Name | JULIETA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9348) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CO PTL9348) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-10-24 |