Individual
MR. LEANDRO MAURICE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1501 SAN PEDRO DR SE, 117B, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
6001 SONORA AVE NW, ALBUQUERQUE, NM 87120-4812
(505) 288-8729
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
906
NM
225XH1200X
Hand Occupational Therapist
Primary
906
NM
Other
Enumeration date
07/10/2006
Last updated
09/29/2021
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