Alicia Sabina Medina OTR/L

NPI 1740625391 - Contractor - 171W00000X

NPI Details
NPI 1740625391
Gender Female
Enumeration Date 05/08/2013
Last Updated 05/08/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
6889 HAMPTON CIR
GURNEE IL, 60031-4019, US
Phone (224) 717-0313
Fax
Business Location
6889 HAMPTON CIR
GURNEE IL, 60031-4019, US
Phone (224) 717-0313
Fax
Toxanomy
Taxonomy Code 171W00000X
License State Illinois
License Number 056009652
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According to our database, Ms. Alicia Sabina Medina OTR/L NPI is 1740625391, taxonomy code is 171W00000X and license number is 056009652, license state is located at Illinois. Alicia Sabina Medina OTR/L physically located at 6889 Hampton Cir, Gurnee IL, 60031-4019. NPI Number Alicia Sabina Medina OTR/L has the Individual type.

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1740625391 NPI number is provided on an as is basis without warranty of any kind. 1740625391 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Sabina Medina OTR/L are for informational purposes only.