Individual
ANGELA ROSALIA LOPEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1415 RIDGEBACK RD STE 2, CHULA VISTA, CA 91910-6983
(757) 650-6636
Mailing address
3288 ADAMS AVE, SAN DIEGO, CA 92116-1646
(619) 356-3117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19249
CA
Other
Enumeration date
10/17/2018
Last updated
07/14/2021
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