Individual
DARLENE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
57 LAKE ST, WILSON, NY 14172-9762
(845) 956-3109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
012033
NY
225XP0200X
Pediatric Occupational Therapist
Primary
012033-01
NY
Other
Enumeration date
07/19/2013
Last updated
01/02/2024
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