Individual
ANDREA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2819 CROW CANYON RD STE 205, SAN RAMON, CA 94583-1656
(925) 264-9810
(925) 263-1906
Mailing address
1706 ALAMEDA AVE, ALAMEDA, CA 94501-4004
(510) 703-1593
(510) 263-8313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 5472
CA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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