Individual
TERESA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2828 CORAL WAY STE 110A, MIAMI, FL 33145-3214
(786) 393-2288
Mailing address
7531 NW 175TH ST, HIALEAH, FL 33015-7150
(786) 393-2288
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA16966
FL
Other
Enumeration date
11/15/2019
Last updated
11/07/2025
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