Individual
SONIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17924 SABAL PALM DR STE 3, PENITAS, TX 78576-0977
(956) 581-8060
Mailing address
621 N ALAMO RD, EDINBURG, TX 78542-2552
(956) 292-4006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215410
TX
Other
Enumeration date
01/10/2019
Last updated
01/22/2019
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