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1164576492
BLANCA LOPEZ
KISSIMMEE, FL
NPI
1164576492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL pta19643)
Enumeration Date
2007-01-23
Last Update Date
2015-12-08
Business Address
Ms. BLANCA LOPEZ PTA
2511 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741-1653
Phone number: 407-483-7961
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Mailing Address
Ms. BLANCA LOPEZ PTA
2511 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741-1653
Phone number: 407-483-7961
Copy
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