Individual
ALEXANDER LOUREIRO LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
525 GLENBURN AVE, CAMBRIDGE, MD 21613-1414
(410) 221-1400
Mailing address
4 JEFFREY LN, W LONG BRANCH, NJ 07764-1111
(908) 342-5793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00910600
NJ
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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