Individual
ELSA ESCOBEDO-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R,
Contact information
Practice address
12732 OLD SPANISH TRL, LIVE OAK, TX 78233-2526
(210) 857-0317
Mailing address
12732 OLD SPANISH TRL, LIVE OAK, TX 78233-2526
(210) 857-0317
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
102700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825T90
BLUE CROSS BLUE SHEILD
TX
Enumeration date
02/26/2009
Last updated
12/01/2011
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