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1649622192
KELLI LOPEZ
AUSTIN, TX
NPI
1649622192
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Former Name
KELLI BENNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 3119600)
Enumeration Date
2016-07-08
Last Update Date
2018-12-06
Business Address
KELLI LOPEZ DPT
2501 RR 620 S STE 140
AUSTIN, TX 78738-5623
Phone number: 512-840-0444
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Mailing Address
KELLI LOPEZ DPT
2105 TOULOUSE DR
AUSTIN, TX 78748-6065
Phone number: 817-320-4861
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