Individual
ELVIS E LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12519 53RD RD N, WEST PALM BEACH, FL 33411-9001
(561) 900-6254
Mailing address
12519 53RD RD N, WEST PALM BEACH, FL 33411-9001
(561) 809-3653
(561) 498-0733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 22428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22428
FLORIDA LICENSE
FL
Enumeration date
04/20/2007
Last updated
04/13/2016
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