Individual
GABRIELA CORONADO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 HUMMINGBIRD LN, HUMBLE, TX 77396-4136
(346) 857-5779
Mailing address
3206 HUMMINGBIRD LN, HUMBLE, TX 77396-4136
(346) 857-5779
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216461
TX
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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