Individual
CARMEN MARIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(415) 794-4710
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(415) 794-4710
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT 29234
FL
225100000X
Physical Therapist
Primary
PT 29234
FL
Other
Enumeration date
06/09/2014
Last updated
09/07/2025
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