Individual
KATHRYN KIRSTEN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5303 PATRICK HENRY ST, BELLAIRE, TX 77401-4816
(281) 857-2001
Mailing address
17319 STRATFORD GREEN DR, SUGAR LAND, TX 77498-7383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210378
TX
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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