Individual
AUDREY LEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 UHLAND RD STE 112, SAN MARCOS, TX 78666-6681
(512) 396-0872
Mailing address
924 RIVER HILLS DR, SAN MARCOS, TX 78666-9520
(512) 667-6474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209681
TX
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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