Individual
MR. DANIEL MEDRANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1575 BELVIDERE ST, EL PASO, TX 79912-2649
(915) 833-3229
Mailing address
257 PYRITE DR, EL PASO, TX 79932-1631
(915) 740-8654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117607
TX
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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