Individual
MARTHA LORENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17336 NW 62ND PL, HIALEAH, FL 33015-4501
(786) 712-1967
Mailing address
17336 NW 62ND PL, HIALEAH, FL 33015-4501
(786) 712-1967
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA27201
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
04/09/2024
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