Individual
ABIGAIL THERESA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6022 S LINDBERGH BLVD # 100, SAINT LOUIS, MO 63123-7019
(314) 845-7751
Mailing address
6022 S LINDBERGH BLVD # 100, SAINT LOUIS, MO 63123-7019
(314) 845-7751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016021291
MO
Other
Enumeration date
08/05/2016
Last updated
12/12/2019
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