Joelle Elaine Medina
Occupational Therapist
2889 San Pasqual St
Pasadena
, California 91107-5364
Joelle Elaine Medina
Occupational Therapist
2889 San Pasqual St
Pasadena
, California 91107-5364
(626) 358-1248
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Joelle Elaine Medina
- 1900 Royal Oaks Dr
- Duarte, CA
- Zip : 91010-1955
- Phone : (626) 358-1248
Second Address
- Joelle Elaine Medina
- 2889 San Pasqual St
- Pasadena, CA
- Zip : 91107-5364
- Phone : (626) 792-2712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | CA |
National Provider Identifier
| NPI | 1003108226 |
|---|---|
| Provider Name | Joelle Elaine Medina |
| First Address | Duarte, CA 91010-1955 |
| Second Address | Pasadena, CA 91107-5364 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2011 |
| Last Update Date | 05/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.