Individual
MRS. DEANNA LYNN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
4080 LEMON ST, RIVERSIDE, CA 92501-3609
(951) 955-1000
Mailing address
11875 PIGEON PASS RD, SUITE B13 #324, MORENO VALLEY, CA 92557-6044
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
1150
NE
225X00000X
Occupational Therapist
Primary
451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1150
HEALTH AND HUMAN SERVICES
NE
Enumeration date
11/16/2007
Last updated
01/02/2021
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