Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT-0006438 | FL |
NPI | 1154843787 |
---|---|
Provider Name | Karen Lopez Jimenez |
First Address | Altamonte Springs, FL 32701-6233 |
Second Address | Lake Mary, FL 32746-3412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2017 |
Last Update Date | 14/07/2017 |