Individual
ILIANA MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1140 W 50TH ST, HIALEAH, FL 33012-3440
(305) 231-3371
Mailing address
6941 NW 173RD DR APT 206, HIALEAH, FL 33015-5587
(786) 527-0651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT26711
FL
Other
Enumeration date
03/28/2022
Last updated
12/04/2025
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