Guadalupe Medina, PT
Physical Therapist in Santa Ana, CA. Individual provider (NPI-1).
NPI number1891537726
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1891537726
- Entity type
- Individual (NPI-1)
- Name
- Guadalupe Medina
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2024
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 306120 | CA | Yes |
Practice location
1715 Alona StSanta Ana, CA 92706-2308
Phone 657-235-4012
Mailing address
1715 Alona StSanta Ana, CA 92706-2308
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