Individual
EDITH M LOPEZ LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
YMCA SAN JUAN, 800 BOULEVARD SAGRADO CORAZON PARADA 26, SAN JUAN, PR 00909
(787) 403-7557
Mailing address
PO BOX 362851, SAN JUAN, PR 00936-2851
(787) 672-4476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1296
PR
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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