STEPHANIE MEDINA

SEDGWICK, KS
NPI1528568250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  18-01305)
Enumeration Date2018-02-19
Last Update Date2018-02-19
Business Address
Mrs. STEPHANIE MEDINA COTA/L
712 N MONROE AVE
SEDGWICK, KS 67135-9492
Phone number: 316-772-5185
Mailing Address
Mrs. STEPHANIE MEDINA COTA/L
1829 E 53RD ST S
WICHITA, KS 67216-3341
Phone number: 316-990-2763
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