| NPI | 1821735101 |
|---|---|
| Former Name | MICHAELA D MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125015) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00972100) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2026-02-23 |