Individual
VANESSA RENEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
210 W WINDCREST ST, FREDERICKSBURG, TX 78624-4408
(830) 637-7885
Mailing address
210 W WINDCREST ST, FREDERICKSBURG, TX 78624-4408
(830) 637-7885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212101
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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