Individual
MR. RAMON MEDINA GERONA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010134A
IN
225100000X
Physical Therapist
4565
IA
225100000X
Physical Therapist
PTL 0009514
CO
Other
Enumeration date
11/18/2008
Last updated
02/08/2013
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