Diwata Lopez, PT

NPI 1972748275 · on the registry since 2008 · sole proprietor

Practice

Address: 405 S Summit St
Crescent City, FL 32112
Phone: (386) 698-4720
Organisation at this address: Beyond Venacare Services Llc
Florida Center For Behavior Analysis Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida