Individual
ERICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
(321) 773-8990
Mailing address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
(321) 773-8990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15290
FL
Other
Enumeration date
12/13/2016
Last updated
05/29/2019
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