Individual
JANNA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 JASON DR, RICHMOND, KY 40475-2774
(859) 353-3666
Mailing address
752 RICHMOND RD N, BEREA, KY 40403-1059
(859) 353-3666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
162351
KY
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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