Individual
MELINDA M LOPEZ-GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
316 GENERAL CAVAZOS BLVD, KINGSVILLE, TX 78363-7245
(361) 592-9366
Mailing address
6806 METS CT, CORPUS CHRISTI, TX 78414-4271
(361) 813-0895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215417
TX
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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