Individual
MRS. LILIANA TOVAR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
842 LEFFERTS AVENUE, A, BROOKLYN, NY 11203
(718) 778-8587
Mailing address
921 E NEW YORK AVE, BROOKLYN, NY 11203-1309
(718) 778-8587
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006752
NY
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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