Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diwata Enriquez Lopez, PT

Individual provider Physical Therapist · NPI 1972748275

Diwata Enriquez Lopez, PT is a Physical Therapist in Crescent City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

405 S Summit St
Crescent City, FL 32112-3047
Phone: (386) 698-4720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT20977 (FL)

Record details

NPI number1972748275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 16, 2008
Last updated in NPPESJanuary 18, 2024

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