Sara Rose Lopez, L.M.B.T.
Massage Therapist in Jacksonville, NC. Individual provider (NPI-1).
NPI number1083811368
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083811368
- Entity type
- Individual (NPI-1)
- Name
- Sara Rose Lopez
- Credential
- L.M.B.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 6491 | NC | Yes |
Practice location
215 Western Blvd Ste 300Jacksonville, NC 28546-5730
Phone 910-989-0002 · Fax 910-375-5381
Mailing address
101 Circle DrJacksonville, NC 28540-4811
Phone 305-490-8956
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