Julieta Lopez Burns

Individual provider Active NPI Physical Therapist · Monument, CO

NPI 1598889313 · NPPES record last updated Oct 24, 2013

Key facts

NPI
1598889313
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
9348 (CO)
Practice address
1625 Capadaro CT
Monument, CO 80132-3402
Phone
(719) 641-1302
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9348COMDOral and Maxillofacial Surgery (Dentist)
PTL9348COMDContractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X PTL9348 CO
Physical Therapist 225100000X 9348 CO Yes

Addresses

Primary practice location

1625 Capadaro CT
Monument, CO 80132-3402

Mailing address

1625 Capadaro CT
Monument, CO 80132-3402
Phone (719) 641-1302

Other names

  • Julieta Lopez Former name

Other providers in Monument, CO

All providers in Monument, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.