Individual
JOELLE ELAINE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2889 SAN PASQUAL ST, PASADENA, CA 91107-5364
(626) 792-2712
Mailing address
1900 ROYAL OAKS DR, DUARTE, CA 91010-1955
(626) 358-1248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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