Individual
COURTNEY M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6719 NE 33RD CT, OCALA, FL 34479-1423
(352) 342-4975
Mailing address
6719 NE 33RD CT, OCALA, FL 34479-1423
(352) 342-4975
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
09/10/2020
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