Provider Demographics
NPI:1588821417
Name:LOPEZ, CELIA IRENE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CELIA
Middle Name:IRENE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:THERAPY
Other - Middle Name:THRU
Other - Last Name:PLAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:19990 NW 83RD CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5923
Mailing Address - Country:US
Mailing Address - Phone:786-877-5721
Mailing Address - Fax:305-690-7138
Practice Address - Street 1:19990 NW 83RD CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5923
Practice Address - Country:US
Practice Address - Phone:786-877-5721
Practice Address - Fax:305-690-7138
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT2128225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist