Individual
MISS NOEL ELIZABETH MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
701 OVERLOOK DR, WINTER HAVEN, FL 33884-1671
(863) 318-5000
Mailing address
2137 CABERNET CT, EAGLE LAKE, FL 33839-3910
(863) 651-2628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12724
FL
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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