Provider Demographics
NPI:1891908836
Name:LOWE-LOPEZ, TOMIKA LASHA (PT, DPT, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:TOMIKA
Middle Name:LASHA
Last Name:LOWE-LOPEZ
Suffix:
Gender:F
Credentials:PT, DPT, OTR/L
Other - Prefix:
Other - First Name:TOMIKA
Other - Middle Name:LASHA
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:619 S MARION AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-5808
Mailing Address - Country:US
Mailing Address - Phone:706-987-3601
Mailing Address - Fax:
Practice Address - Street 1:619 S MARION AVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5808
Practice Address - Country:US
Practice Address - Phone:706-987-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012272225100000X
FLPT31282225100000X
GAOT003899225X00000X
FLOT17532225X00000X, 225X00000X
AL2404225X00000X
FLPT31281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist