Individual
PEDRO MIGUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6808 SW 81ST ST, MIAMI, FL 33143-7708
(305) 905-4188
(305) 595-6050
Mailing address
9874 SW 88TH ST, APT G 202, MIAMI, FL 33176-1833
(305) 389-3978
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23707
FL
Other
Enumeration date
02/22/2013
Last updated
03/01/2013
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