Individual
MONTANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1710 PLAZA WAY, WALLA WALLA, WA 99362-4362
(509) 529-4218
Mailing address
803 ALVARADO TER, WALLA WALLA, WA 99362-1326
(208) 755-6625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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