Individual
AISHA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 6TH ST, VERO BEACH, FL 32962-1459
(772) 453-0595
Mailing address
1850 6TH ST, VERO BEACH, FL 32962-1459
(772) 453-0595
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114976900
—
FL
Enumeration date
08/25/2022
Last updated
08/25/2022
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