Most Relevant Information
Provider Data
| NPI Number: | 1003413782 |
| Provider Name: | GABRIELA CORONADO LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 216461 |
Most Important Dates
| Enumeration Date: | 10/05/2020 |
| Last Updated: | 10/05/2020 |
Provider Practice Location
3206 HUMMINGBIRD LN
HUMBLE
TX
773964136
Practice Location Phone/Fax
| Phone: | 3468575779 |
| Fax: |
Provider Mailing Location
3206 HUMMINGBIRD LN
HUMBLE
TX
773964136
Provider Mailing Phone/Fax
| Phone: | 3468575779 |
| Fax: |