Individual
MR. PAUL JESSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1837 SAFFRON PLUM LN, ORLANDO, FL 32828-7356
(407) 721-2332
Mailing address
1837 SAFFRON PLUM LANE, ORLANDO, FL 32828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11255
FL
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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