Diwata Enriquez Lopez, PT
NPI #1972748275 in Crescent City, Florida
Provider Information
- NPI Number
- 1972748275
- Entity Type
- Individual
- Name
- Diwata Enriquez Lopez, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Dec 16, 2008
- Last Updated
- Jan 18, 2024
Practice Location
- Address
- 405 S SUMMIT ST
- City
- Crescent City
- State
- Florida
- ZIP Code
- 32112-3047
- Phone
- (386) 698-4720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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