Individual
MS. DIANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WESTWARD DR STE 103, MIAMI SPRINGS, FL 33166-5211
(305) 290-0622
Mailing address
6544 SW 73RD CT, MIAMI, FL 33143-2919
(305) 803-6682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28238
FL
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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