Provider Demographics
NPI:1770866071
Name:LOPRESTO, SOJAILA GUERRERO (LMT)
Entity Type:Individual
Prefix:
First Name:SOJAILA
Middle Name:GUERRERO
Last Name:LOPRESTO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 BRANTLEY ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-5617
Mailing Address - Country:US
Mailing Address - Phone:407-341-2742
Mailing Address - Fax:
Practice Address - Street 1:580 CAPE COD LN
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2144
Practice Address - Country:US
Practice Address - Phone:407-341-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 27489225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist