Individual
ALEXA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1565 SAXON BLVD STE 301, DELTONA, FL 32725-5836
(386) 851-0901
(386) 851-2426
Mailing address
336 BROAD ST STE 203, ROME, GA 30161-3006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40720
FL
2255A2300X
Athletic Trainer
AL4363
FL
Other
Enumeration date
07/31/2018
Last updated
08/08/2023
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