Individual
ERROL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3882 SUNSET COVE DR, PORT ORANGE, FL 32129-1916
(386) 631-0841
Mailing address
3882 SUNSET COVE DR, PORT ORANGE, FL 32129-1916
(386) 631-0841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25202
FL
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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