Provider Demographics
NPI:1700042595
Name:MEDINA, BARBARA (OT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:MEDINA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-3337
Mailing Address - Country:US
Mailing Address - Phone:786-523-2638
Mailing Address - Fax:
Practice Address - Street 1:3301 NW 50TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-3337
Practice Address - Country:US
Practice Address - Phone:786-523-2638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist