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1104442763
DIEGO LOPEZ
LOS ANGELES, CA
NPI
1104442763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 19582)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
DIEGO LOPEZ OTD, OTR/L
1016 S RECORD AVE
LOS ANGELES, CA 90023-2533
Phone number: 323-268-0106
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Mailing Address
DIEGO LOPEZ OTD, OTR/L
691 E HOWARD ST
PASADENA, CA 91104-2348
Phone number:
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