Individual
REBECCA P LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7711
(325) 942-4000
Mailing address
136 LAS LOMAS DR, SAN ANGELO, TX 76904-7927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206635
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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