Individual
LOVELL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12008 S SHORE BLVD STE 201, WELLINGTON, FL 33414-6396
(561) 492-5127
Mailing address
12008 S SHORE BLVD STE 201, WELLINGTON, FL 33414-6396
(561) 492-5127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23994
FL
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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