Individual
GENESIS A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 9TH ST N, NAPLES, FL 34102-8135
(239) 261-8126
Mailing address
165 WILLOUGHBY DR, NAPLES, FL 34110-1337
(239) 776-0907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29317
FL
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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