Provider Demographics
NPI:1306126388
Name:LOPEZ, BELINDA PRICE (MSED, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:PRICE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MSED, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-3328
Mailing Address - Country:US
Mailing Address - Phone:315-435-4650
Mailing Address - Fax:
Practice Address - Street 1:1106 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-3328
Practice Address - Country:US
Practice Address - Phone:315-435-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001759-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist