Individual
MRS. SUZANNE PARTRIDGE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
156 NEWAUKUM VILLAGE DR, CHEHALIS, WA 98532-8873
(360) 740-1713
Mailing address
156 NEWAUKUM VILLAGE DR, CHEHALIS, WA 98532-8873
(360) 740-1713
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7683733
—
WA
Enumeration date
03/21/2007
Last updated
07/09/2007
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