NPI 1770031353
Monica Lopez
Practice location
- Address
- 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242
- Phone
- (601) 289-7074
- Mailing address
- 4109 Highway 98 W, Summit, MS 39666-9132
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1770031353
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Sep 2016
- Record last updated
- 13 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.