Most Relevant Information
Provider Data
| NPI Number: | 1003489048 |
| Provider Name: | KEISY ARISLU LOPEZ-LOMELI OTD |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | OT006916 |
Most Important Dates
| Enumeration Date: | 07/19/2021 |
| Last Updated: | 07/19/2021 |
Provider Practice Location
351 THORNTON RD STE 125
LITHIA SPRINGS
GA
301221589
Practice Location Phone/Fax
| Phone: | 7705770399 |
| Fax: |
Provider Mailing Location
4575 DURON PL SW
MABLETON
GA
301261177
Provider Mailing Phone/Fax
| Phone: | 7123897919 |
| Fax: |