Individual provider · Type 1 NPI

Ivy Grace Lopez, OTR/L

Specialist · Jamaica, NY

NPI number 1538568894 Active

Practice location

8829 180th St Fl 2
Jamaica, NY 11432-4737

Call (914) 426-9779 Map

Fax (718) 880-1240

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X018985 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1538568894

Ivy Grace Lopez, OTR/L's National Provider Identifier is 1538568894, issued on Aug 22, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jamaica, NY. The record was last updated on Aug 22, 2014.