Individual
ALEJANDRA YAIZETH MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10839 QUARRY PARK, SAN ANTONIO, TX 78233-4681
(844) 206-4512
Mailing address
23523 BEAVER CRK, SAN ANTONIO, TX 78258-7333
(956) 489-2134
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
122104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27834870
DRIVER'S LICENSE
TX
Enumeration date
10/21/2021
Last updated
10/21/2021
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