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

Jeannie Lopez

Individual provider Occupational Therapy Assistant · NPI 1376124479

Jeannie Lopez is an Occupational Therapy Assistant in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

140 S Beach St Ste 310
Daytona Beach, FL 32114-4409
Phone: (386) 898-6040
Fax: (386) 256-2320
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA18189 (FL)

Record details

NPI number1376124479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address140 S Beach St Ste 310, Daytona Beach, FL 32114-4409

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