Individual
DIWATA ENRIQUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
405 S SUMMIT ST, CRESCENT CITY, FL 32112-3047
(386) 698-4720
Mailing address
5204 EDERIA WAY, BAKERSFIELD, CA 93313
(386) 698-4720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20977
FL
Other
Enumeration date
12/16/2008
Last updated
01/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us