Brook K Medina, DPT

NPI #1881902625 in Benton, Arkansas

Provider Information

NPI Number: 1881902625
Entity Type: Individual
Name: Brook K Medina, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 17706 I-30 STE 3
City: Benton
State: Arkansas
ZIP Code: 72019-2930
Phone: (501) 315-4414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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