Individual
KRYSTAL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2009 WEAVER FOREST WAY, MORRISVILLE, NC 27560-6669
(919) 378-1340
Mailing address
9920 PINEVILLE RD UNIT 12, RALEIGH, NC 27617-6340
(832) 628-0443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12502
NC
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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