Individual
GLORIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 153 KM 12.4 LOCAL 3, BO LAS FLORES, COAMO, PR 00769
(787) 901-0381
Mailing address
11216 CALLE CALVEL, HACIENDA CONCORDIA, SANTA ISABEL, PR 00757
(787) 901-0381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1363
PR
224ZL0004X
Low Vision Occupational Therapy Assistant
1363
PR
Other
Enumeration date
10/07/2021
Last updated
10/08/2021
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