Individual
ISRAEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044
(480) 689-5509
Mailing address
2979 E PALMDALE LN, GILBERT, AZ 85298-5708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7756
AZ
Other
Enumeration date
10/13/2009
Last updated
11/12/2018
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