Individual
REYNA LETICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1853 OAK TREE LN, STOCKTON, CA 95209-4572
(209) 598-7589
Mailing address
1853 OAK TREE LN, STOCKTON, CA 95209-4572
(209) 598-7589
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11110
CA
Other
Enumeration date
05/27/2016
Last updated
08/15/2025
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