Jennisey Lopez Gonzalez

NPI #1306512603 in Pinecrest, Florida

Provider Information

NPI Number: 1306512603
Entity Type: Individual
Name: Jennisey Lopez Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 18, 2021
Last Updated: Aug 18, 2021

Practice Location

Address: 12651 S DIXIE HWY STE 205
City: Pinecrest
State: Florida
ZIP Code: 33156-5955
Phone: (305) 232-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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