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Individual

OLIVIA M LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
929 W FOSTER AVE, CHICAGO, IL 60640-1491
(773) 433-1800
Mailing address
5321 S EDGEWOOD AVE, LA GRANGE HIGHLANDS, IL 60525-6532
(708) 769-6752

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
452595
NC

Other

Enumeration date
07/02/2021
Last updated
07/02/2021
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