Individual
SHAIDY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
503 W OCEAN BLVD, LOS FRESNOS, TX 78566-3635
(956) 233-4111
Mailing address
1215 CAROLINA AVE, EDINBURG, TX 78541-8579
(956) 739-5944
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
117702
TX
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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