Individual
JESSICA CAROLINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7902 NW 36TH ST STE 207, DORAL, FL 33166
(786) 615-9879
(786) 345-0620
Mailing address
PO BOX 836449, MIAMI, FL 33283-6449
(786) 615-9879
(786) 345-0620
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18227
FL
Other
Enumeration date
02/06/2017
Last updated
08/09/2019
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