MEDICARE: ERIKA P LOPEZ OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	12982	FL

General Provider Information

NPI Number	:	1235312794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA P LOPEZ OTR/L

Provider Business Mailing Address
First Line	:	8813 SW 113TH PLACE CIR W
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-1106
Country	:	US
Telephone Number	:	305-720-4856
Fax Number	:

Provider Business Practice Location Address
First Line	:	8813 SW 113TH PLACE CIR W
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-1106
Country	:	US
Telephone Number	:	305-720-4856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	02/26/2013

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