Individual
DAMARY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15904 SW 92ND AVE, MIAMI, FL 33157-1842
(305) 969-7778
(305) 969-7252
Mailing address
11975 SW 112TH AVENUE CIR, MIAMI, FL 33176-3954
(305) 505-0399
(305) 969-7252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888226600
—
FL
Enumeration date
02/29/2008
Last updated
02/29/2008
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