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Individual

ARIANNA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5535 S WILLIAMSON BLVD, PORT ORANGE, FL 32128-8311
(888) 265-2680
Mailing address
PO BOX 136, ORACLE, AZ 85623-0136

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-126
HI

Other

Enumeration date
10/31/2017
Last updated
10/31/2017
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