Individual
MRS. JENNIFER LOPEZ MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
8 THREE RIVERS COURT, NEWARK, DE 19702-4262
(302) 836-1495
Mailing address
3201 W. COMMERCIAL BLVD, SUITE 116 C/O CHRISTINE ORTINO, FT. LAUDERDALE, FL 33309
(954) 332-4445
(954) 332-4340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002202
DE
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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