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Individual

MS. MARIA MICHELLE MEDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-0286
(712) 366-0277
Mailing address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-0286
(712) 366-0277

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
002037
IA

Other

Enumeration date
09/09/2010
Last updated
09/09/2010
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