Individual
MISS JOANNA I ATHERTON-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2281 W 24TH ST, STE 10, YUMA, AZ 85364-6154
(928) 344-1656
(928) 344-5072
Mailing address
2281 W 24TH ST, STE 10, YUMA, AZ 85364-6154
(928) 344-1656
(928) 344-5072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0293620
BLUE CROSS OF AZ
AZ
Enumeration date
04/07/2006
Last updated
06/03/2013
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