Doctor Name: | KARI SHANNON LOPES |
NPI Number: | 1033241393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 20302 |
Business Practice Address: | 130 Lubrono Dr Suite L-13 Annapolis, MD - 214017037 |
Business Phone Number: | 4105731064 |
Business Fax Number: | 4105731065 |
Mailing Address: | 303 Hillsmere Dr, ANNAPOLIS |
State: | MD |
Postal Code: | 214033737 |
Phone Number: | 4105731064 |
Fax Number: | 4105731065 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 20302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |