Individual
TERI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
755 S TELSHOR BLVD, LAS CRUCES, NM 88011-4688
(575) 556-2103
(575) 556-2181
Mailing address
5254 NANA TRL, LAS CRUCES, NM 88012-9797
(575) 496-2421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2649
NM
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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