Individual
YANIRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 E SAUNDERS ST, PLAZA 3, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Mailing address
2335 E SAUNDERS ST, PLAZA 3, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213806
STATE LICENSE
TX
Enumeration date
03/07/2016
Last updated
03/07/2016
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