Individual
HEATHER L LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
1325 SAN MARCO BLVD STE 102, JACKSONVILLE, FL 32207-8549
(904) 858-7045
(904) 858-7047
Mailing address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6769
FL
Other
Enumeration date
07/07/2005
Last updated
04/19/2018
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