Individual
MISS ALYSSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1909 LONGFELLOW AVE, BRONX, NY 10460
(347) 497-3998
Mailing address
1909 LONGFELLOW AVE, NEW YORK, NY 10460
(347) 497-3998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010287
NY
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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