Doctor Name: | MA. ESTELA LOPEZ ORTALEZA |
NPI Number: | 1043406903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2007018572 |
Business Practice Address: | 2700 E 34th St Joplin, MO - 648044310 |
Business Phone Number: | 4177811737 |
Business Fax Number: | |
Mailing Address: | 2810 S Jackson Ave, JOPLIN |
State: | MO |
Postal Code: | 648042524 |
Phone Number: | 4176242061 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 07/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2007018572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |