Individual
YUDI NATHALY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
301 S GALLAHER VIEW RD, KNOXVILLE, TN 37919-5355
(865) 927-6021
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(865) 927-6021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8510
TN
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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