Individual
RAQUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17754 NW 59TH AVE, 102, HIALEAH, FL 33015-5149
(786) 768-3465
(866) 546-3080
Mailing address
6621 LAKE BLUE DR, MIAMI LAKES, FL 33014-3005
(786) 768-3465
(866) 546-3080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11986
FL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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