Individual ProviderHeidy LopezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3385 Burns Rd Ste 108, Palm Beach Gardens, FL 33410-4328(561) 432-0111(561) 543-1793PECOS EnrollmentBased on the most recent information from CMS, provider Heidy Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1750112892Provider TypeIndividualFull NameLopez, HeidyGenderFemaleSole ProprietorYesEnumeration Date8/12/2024Last Updated8/15/2024Contact InformationPractice LocationPractice Address3385 Burns Rd Ste 108, Palm Beach Gardens, FL 33410-4328Phone(561) 432-0111Fax(561) 432-1075Mailing LocationMailing Address3 Glamis Way, Boynton Beach, FL 33426-7617Phone(561) 543-1793FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense41622Florida