Individual
MILETTE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 N VALENCIA DR, AVON PARK, FL 33825-9465
(863) 873-8547
Mailing address
1836 N VALENCIA DR, AVON PARK, FL 33825-9465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18684
FL
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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