Individual
MRS. INDRA LUZ LOPEZ-ESTEVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5373 THOMPSONS MILL RD, HOSCHTON, GA 30548-4037
(770) 967-6555
Mailing address
3871 ZOEY LEE DR, SNELLVILLE, GA 30039-5257
(845) 269-0787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001819
GA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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