Individual
DIANNA MICHELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
719 CHIHUAHUA ST, SUITE 107, LAREDO, TX 78040-5247
(956) 723-3737
(956) 723-3736
Mailing address
719 CHIHUAHUA ST, SUITE 107, LAREDO, TX 78040-5247
(956) 723-3737
(956) 723-3736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113870
TX
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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