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Individual

MRS. AMBAR LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1513 SUN CITY CENTER PLZ STE C, SUN CITY CENTER, FL 33573-5390
(813) 634-6022
(813) 634-6053
Mailing address
8137 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6681
(813) 770-0073

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11706
FL

Other

Enumeration date
10/10/2007
Last updated
10/10/2007
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