Christian Adolfo Lopez, PTA
Physical Therapy Assistant in Smyrna, DE. Individual provider (NPI-1).
NPI number1093290231
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1093290231
- Entity type
- Individual (NPI-1)
- Name
- Christian Adolfo Lopez
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2018
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | J2-0001281 | DE | Yes |
Other names
- Cristian Adolfo Lopez-Magana (Former Name)
Practice location
33 Deak Dr Ste 101Smyrna, DE 19977-1268
Phone 302-659-5700
Mailing address
3115 New Castle Ave Trlr 5New Castle, DE 19720-2168
Phone 302-464-9635
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