Individual
MRS. JAYMIE DIAZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
125 S PARK AVE, APOPKA, FL 32703-4254
(407) 410-3200
Mailing address
125 S PARK AVE, APOPKA, FL 32703-4254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33889
FL
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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