Individual
ALEXIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 586-0509
(909) 929-0805
Mailing address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 586-0509
(909) 929-0805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225X00000X
Occupational Therapist
Primary
23231
CA
Other
Enumeration date
02/16/2018
Last updated
02/07/2022
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