Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellise Mariel Lopez

Individual provider Occupational Therapist · NPI 1316818834

Ellise Mariel Lopez is an Occupational Therapist in Clermont, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

151 E Minnehaha Ave
Clermont, FL 34711-3424
Phone: (352) 394-2188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT25441 (FL)

Record details

NPI number1316818834
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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