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Individual

MISS LILIANA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
918 W STATE AVE, PHARR, TX 78577-3684
(956) 283-1806
(956) 283-1803
Mailing address
918 W STATE AVE, PHARR, TX 78577-3684
(956) 283-1806
(956) 283-1803

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113463
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217335301
TX
Enumeration date
02/02/2010
Last updated
03/26/2018
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