Individual
JESSICA LYNN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
216 E INTERSTATE 2 STE K, PHARR, TX 78577-6505
(956) 588-4060
Mailing address
216 E INTERSTATE 2 STE K, PHARR, TX 78577-6505
(956) 588-4060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212859
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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