Individual
LAURA SYDNEY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27169 CA-189 SUITE 2, BLUE JAY, CA 92317
(909) 855-0861
Mailing address
PO BOX 565, RIMFOREST, CA 92378-0565
(909) 800-4488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8171
CA
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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