Healthcare Provider Details

I. General information

NPI: 1891146353
Provider Name (Legal Business Name): KATHRYN LOPEZ OTR/L, MHS, CDRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 MEDICAL CENTER DR
NASHVILLE TN
37232-0004
US

IV. Provider business mailing address

3608 HAMPTON AVE
NASHVILLE TN
37215-1043
US

V. Phone/Fax

Practice location:
  • Phone: 615-835-1115
  • Fax:
Mailing address:
  • Phone: 513-518-1602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number5243
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License Number5611
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: