Individual
SERENA LYN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1135 E VETERANS HWY, JACKSON, NJ 08527-5090
(732) 352-9035
Mailing address
516 4TH AVE, EGG HARBOR CITY, NJ 08215-4029
(609) 276-8553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09225600
NJ
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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