Individual
KERRILEE SUZANNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1307 GENERAL CAVAZOS BLVD, KINGSVILLE, TX 78363-7130
(361) 595-9405
Mailing address
PO BOX 822, KINGSVILLE, TX 78364-0822
(361) 595-9408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106023
TX
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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