Individual
ANNALISA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
97 HUGHES RD, SUITE H, MADISON, AL 35758-3400
(256) 883-7338
Mailing address
141 SAGEBROOK DR, MADISON, AL 35757-7686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3433
AL
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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