Individual
JOHN FREDERICK LOPEZ ALTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2665 PARK CENTER DR STE D, SIMI VALLEY, CA 93065-6200
(805) 416-3384
Mailing address
9008 MOONBEAM AVE, PANORAMA CITY, CA 91402-1941
(818) 203-7116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25626
CA
Other
Enumeration date
07/24/2024
Last updated
07/29/2024
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