Individual
JESSICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10475 SW 43RD ST, MIAMI, FL 33165-4910
(305) 213-5725
Mailing address
10475 SW 43RD ST, MIAMI, FL 33165-4910
(305) 213-5725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 14490
FL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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