Individual
GABRIELLA MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7820 SW 169TH ST, PALMETTO BAY, FL 33157-4870
(305) 450-0631
Mailing address
7820 SW 169TH ST, PALMETTO BAY, FL 33157-4870
(305) 450-0631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21517
FL
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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