Individual
STEPHANIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 PLEASANT VIEW AVE, RUSKIN, FL 33570-5835
(941) 962-2449
Mailing address
2118 PLEASANT VIEW AVE, RUSKIN, FL 33570-5835
(941) 962-2449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19127
FL
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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