Provider Demographics
NPI:1629431523
Name:LOPEZ, VALERIE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19430 RIDGELAND DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8861
Mailing Address - Country:US
Mailing Address - Phone:786-553-0592
Mailing Address - Fax:
Practice Address - Street 1:11921 S DIXIE HWY STE 208
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-4449
Practice Address - Country:US
Practice Address - Phone:786-553-0592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27644225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist