Individual
KIARA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 14TH AVE, BROOKLYN, NY 11219-5337
(718) 331-1624
Mailing address
10108 SHORE FRONT PKWY APT 23C, ROCKAWAY PARK, NY 11694-2962
(929) 260-8666
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
028955-01
NY
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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