# CORINA MEDINA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104687326
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1406420 | TX | Yes |
| 225100000X | Physical Therapist | PT-2025-0054 | NM | — |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 05/12/2025
