Individual
HEATHER MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
17861 VON KARMAN AVE, IRVINE, CA 92614-6213
(949) 222-2214
Mailing address
2521 MICHELLE DR, TUSTIN, CA 92780-7014
(909) 809-4811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14467
CA
Other
Enumeration date
02/13/2016
Last updated
04/26/2022
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