Individual
ALEXIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
9558 LAKE CHASE ISLAND WAY, TAMPA, FL 33626-1929
(954) 592-9192
Mailing address
9558 LAKE CHASE ISLAND WAY, TAMPA, FL 33626-1929
(954) 592-9192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16719
FL
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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