Individual
MS. BRITTANY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12830 SW 1ST LN STE 100, NEWBERRY, FL 32669-3260
(352) 692-2131
Mailing address
15694 NW 65TH AVENUE RD, REDDICK, FL 32686-3132
(352) 502-8986
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30839
FL
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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