Individual
LUCILA IVETH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
817 W BEVERLY BLVD STE 206, MONTEBELLO, CA 90640-4265
(562) 991-1324
(562) 502-9862
Mailing address
817 W BEVERLY BLVD STE 206, MONTEBELLO, CA 90640-4265
(562) 991-1324
(562) 502-9862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5049
CA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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