Individual
ERIBEL LOPEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6445 W QUAKER ST, ORCHARD PARK, NY 14127-2354
(716) 972-0356
Mailing address
5386 WEBSTER RD, BROCTON, NY 14716-9615
(716) 720-6576
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008507-1
NY
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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