Individual
ENYI OLIVIA MARTINEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 SE 1ST ST, CAPE CORAL, FL 33990-1751
(786) 260-8956
Mailing address
1326 SE 1ST ST, CAPE CORAL, FL 33990-1751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19564
FL
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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