Individual
MRS. CRISELDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1002 W SAM HOUSTON BLVD STE 10, PHARR, TX 78577-5198
(956) 702-9882
(956) 702-9886
Mailing address
PO BOX 720157, MCALLEN, TX 78504-0157
(956) 682-6900
(956) 683-7192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111177
TX
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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