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1255603114
LISA LOPEZ
FORT WORTH, TX
NPI
1255603114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 110181)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
-- LISA LOPEZ
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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Mailing Address
-- LISA LOPEZ
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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