Individual
CORINA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 OVERLOOK DR, LAKE OSWEGO, OR 97034-6605
(503) 636-4589
Mailing address
32715 FM 1575, LOS FRESNOS, TX 78566-5068
(956) 404-3494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1406420
TX
225100000X
Physical Therapist
PT-2025-0054
NM
Other
Enumeration date
01/16/2024
Last updated
05/12/2025
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