Individual
TANIA L MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2 MUNROE RD, LEXINGTON, MA 02421-7812
(781) 863-2014
(781) 863-2493
Mailing address
2 MUNROE RD, LEXINGTON, MA 02421-7812
(781) 863-2014
(781) 863-2493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1409
MA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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