Ellise Mariel Lopez

NPI #1316818834 in Clermont, Florida

Provider Information

NPI Number
1316818834
Entity Type
Individual
Name
Ellise Mariel Lopez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Sep 16, 2025
Last Updated
Sep 16, 2025

Practice Location

Address
151 E MINNEHAHA AVE
State
Florida
ZIP Code
34711-3424
Phone
(352) 394-2188

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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