Individual
KEVIN MATTHEW LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
18001 COLLINS AVE, SUNNY ISLES BEACH, FL 33160-2722
(786) 777-8828
Mailing address
253 NE 2ND ST APT 2208, MIAMI, FL 33132-2294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17651
FL
225XH1200X
Hand Occupational Therapist
OT17651
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT17651
FL
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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