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Individual

MR. JUAN RUBEN LOPEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2790 N ACADEMY BLVD STE 227, COLORADO SPRINGS, CO 80917-5338
(719) 425-7771
Mailing address
2790 N ACADEMY BLVD STE 227, COLORADO SPRINGS, CO 80917-5338
(719) 425-7771

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113568
TX

Other

Enumeration date
03/31/2010
Last updated
01/29/2018
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