Individual
DEANNA SUE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5955 ZEAMER AVE, 673 MDOS/SGOY, JBER, AK 99506-3702
(907) 580-1530
Mailing address
88 NDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433
(937) 257-8718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106340
TX
Other
Enumeration date
04/06/2006
Last updated
05/07/2020
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