Individual
NICOLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8510 SW 8TH ST, MIAMI, FL 33144-4053
(786) 999-3187
Mailing address
8510 SW 8TH ST, MIAMI, FL 33144-4053
(786) 999-3187
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17467
FL
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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