Individual
AYLA LUCILLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
752 VILLA VANESSA DR, EL PASO, TX 79912-1528
(915) 316-3730
Mailing address
752 VILLA VANESSA DR, EL PASO, TX 79912-1528
(915) 316-3730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25448
CA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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