Jaicon Orcullo Lopez
Jaicon Orcullo Lopez is a Physical Therapist in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2025.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
5212 90th Street FL2Elmhurst, NY 11373
Phone: (718) 757-3961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 66.P133429-01 (NY) |
|---|
Record details
| NPI number | 1275322166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 6, 2025 |
| Last updated in NPPES | May 6, 2025 |
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