Individual
YAIDY E. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 OLD OAK BLVD., MIDDLEBURG HTS., OH 44130
(440) 243-7888
Mailing address
26977 VALESIDE LN, OLMSTED FALLS, OH 44138-3126
(440) 235-7780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-01561
OH
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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