Individual
MR. BEATRIZ GEORGINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 WREN AVE, MIAMI SPRINGS, FL 33166-3857
(786) 322-8350
(305) 882-0838
Mailing address
1100 WREN AVE, MIAMI SPRINGS, FL 33166-3857
(786) 322-8350
(305) 882-0838
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
19353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886467500
—
FL
Enumeration date
07/10/2007
Last updated
01/27/2015
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