Individual
ERICA A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
Mailing address
407 CHURCH ST. SUITEE, GEORGETOWN, SC 29440
(843) 545-5300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4694
SC
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
06/03/2016
Last updated
07/16/2019
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