Individual
GARY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
80 HEALTH PARK DR, SUITE 230, LOUISVILLE, CO 80027-9584
(303) 456-6000
Mailing address
80 HEALTH PARK DR, SUITE 230, LOUISVILLE, CO 80027-9584
(303) 456-6000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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