Individual
SUSAN CHUN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 FORTUNA DR, MERCER ISLAND, WA 98040-3133
(206) 268-3000
Mailing address
4325 92ND AVE SE, MERCER ISLAND, WA 98040-4214
(206) 234-6145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002529
WA
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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