Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA-01561 | OH |
NPI | 1033202734 |
---|---|
Provider Name | Yaidy E. Lopez |
First Address | Olmsted Falls, OH 44138-3126 |
Second Address | Middleburg Hts., OH 44130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |