Whalio Doctors

NPI 1770031353

Monica Lopez

Practitioner Occupational Therapy Assistant Kosciusko, MS

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3199 (MS)

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.