Provider Demographics
NPI:1659254480
Name:LOPEZ, SOKEA RUTH (OTR/L)
Entity type:Individual
Prefix:
First Name:SOKEA
Middle Name:RUTH
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SOKEA
Other - Middle Name:RUTH
Other - Last Name:CHIDLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3622 CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3047
Mailing Address - Country:US
Mailing Address - Phone:847-337-0412
Mailing Address - Fax:
Practice Address - Street 1:1855 S TAYLOR RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2161
Practice Address - Country:US
Practice Address - Phone:216-851-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT013352225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist