Individual
DESIREE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4105 LITTLE RD, NEW PORT RICHEY, FL 34655-1731
(727) 372-6886
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40890
FL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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