Individual
MEGAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8792-26
WI
225X00000X
Occupational Therapist
OT-008451
AZ
Other
Enumeration date
01/02/2025
Last updated
06/02/2025
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