Massiel E Lopez

NPI #1942708425 in Brandon, Florida

Provider Information

NPI Number: 1942708425
Entity Type: Individual
Name: Massiel E Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jan 30, 2018
Last Updated: Jan 17, 2024

Practice Location

Address: 3825 RIPPASO PL
City: Brandon
State: Florida
ZIP Code: 33511-7799
Phone: (917) 705-0145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Developmental Therapist	222Q00000X	Primary

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