Individual
CHRISTINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5481 SW 60TH STREET, SUITE 102, OCALA, FL 34471-5638
(352) 873-1122
(352) 873-6841
Mailing address
PO BOX 741708, ATLANTA, GA 30374-1708
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT18014
FL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885813600
—
FL
Enumeration date
07/08/2005
Last updated
08/18/2016
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