Individual
ELSIE MARIEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 4488 KM 0.9, ABRA HONDA WARD, CAMUY, PR 00627
(787) 313-1176
Mailing address
HC 05 BOX 25808, CAMUY, PR 00627
(787) 313-1176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
549
PR
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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