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Individual

ALYSSA-NICOLE T LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2521 WINDWARD WAY, CHULA VISTA, CA 91914-4526
(619) 621-5266
Mailing address
10561 KEMERTON RD, SAN DIEGO, CA 92126-5926

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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