Individual
VERONICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 COLONIAL BLVD, FORT MYERS, FL 33966-1017
(239) 931-5706
(239) 931-5738
Mailing address
4550 COLONIAL BLVD, FORT MYERS, FL 33966-1017
(239) 931-5706
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OAT13690
FL
Other
Enumeration date
06/10/2014
Last updated
05/19/2015
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