Individual
PATRIZIA F CIUFO-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3975 VILLAGE DR, UNIT D, DELRAY BEACH, FL 33445-2961
(561) 900-6254
(561) 498-0733
Mailing address
3975 VILLAGE DR, UNIT D, DELRAY BEACH, FL 33445-2961
(561) 900-6254
(561) 498-0733
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT6885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 6885
OT LICENSE
FL
Enumeration date
05/19/2008
Last updated
09/21/2009
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