Individual
JESSICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1700 ADAMS AVE STE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
Mailing address
2614 ALONA ST, SANTA ANA, CA 92706-1431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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