Individual
YOLANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
501 S ABILENE AVE, PORTALES, NM 88130-6380
(575) 359-3707
Mailing address
PO BOX 847, PORTALES, NM 88130-0847
(575) 562-4458
(575) 562-4460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2902
NM
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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