Individual
LIZETTE YVONNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
23909 W RENWICK RD STE 105, PLAINFIELD, IL 60544-2109
(779) 234-9583
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015605
IL
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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