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Individual

MICHAEL LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1915 EBENEZER RD, ROCK HILL, SC 29732-1013
(803) 366-8155
Mailing address
1915 EBENEZER RD, ROCK HILL, SC 29732-1013

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10306
NC

Other

Enumeration date
06/19/2016
Last updated
06/19/2016
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