Deanna Sue Medina, OTR/L

NPI #1861454415 in Jber, Alaska

Provider Information

NPI Number: 1861454415
Entity Type: Individual
Name: Deanna Sue Medina, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 6, 2006
Last Updated: May 7, 2020

Practice Location

Address: 5955 ZEAMER AVE
Address 2: 673 MDOS/SGOY
City: Jber
State: Alaska
ZIP Code: 99506-3702
Phone: (907) 580-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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