Marisela Magdalena Medina

NPI #1891317319 in Chesterton, Indiana

Provider Information

NPI Number: 1891317319
Entity Type: Individual
Name: Marisela Magdalena Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: May 7, 2020
Last Updated: May 7, 2020

Practice Location

Address: 1595 S CALUMET RD STE 3
City: Chesterton
State: Indiana
ZIP Code: 46304-2389
Phone: (219) 764-4888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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