Individual
SOPHIA EDELYN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
355 BROAD ST, NEWARK, NJ 07104-5960
(415) 917-7634
Mailing address
355 BROAD ST, NEWARK, NJ 07104-5960
(415) 917-7634
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR01269600
NJ
Other
Enumeration date
01/13/2026
Last updated
01/21/2026
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