Individual
IVELISSE M CRUZ-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1501 SE 24TH RD, OCALA, FL 34471-6005
(352) 629-8900
Mailing address
19 PECAN COURSE CIR, OCALA, FL 34472-9466
(352) 680-0388
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT6084
FL
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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