Individual
MRS. KAREN CARRILLO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9224 NW 9TH PL, PLANTATION, FL 33324-6119
(954) 624-2073
Mailing address
9224 NW 9TH PL, PLANTATION, FL 33324-6119
(954) 624-2073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19869
FL
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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