Individual
DONALD ANTONIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
16001 SW 107TH AVE, MIAMI, FL 33157-2904
(786) 262-6037
Mailing address
16001 SW 107TH AVE, MIAMI, FL 33157-2904
(786) 262-6037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23380
FL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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