Individual provider · NPI-1

Maria Bernarda Lopez Barrios, PTA

Physical Therapy Assistant · Jamaica, NY

NPI number1962267963
StatusActive
Last updated in NPPESFeb 19, 2024

Details

NPI
1962267963
Entity type
Individual (NPI-1)
Name
Maria Bernarda Lopez Barrios
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 19, 2024
Certification date
Mar 23, 2021
Last updated
Feb 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant014149NYYes

Practice location

10522 Princeton St
Jamaica, NY 11435-5008

Phone 347-757-1504

Mailing address

10522 Princeton St
Jamaica, NY 11435-5008

Phone 347-757-1504

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