Individual
JASMIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3012 BEAR VALLEY PKWY S, ESCONDIDO, CA 92025-7634
(760) 479-6306
Mailing address
8216 ZINNIA PL, RIVERSIDE, CA 92503-1429
(949) 899-3796
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5366
CA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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