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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OMAR MEDINA, COTAL

Active

OMAR MEDINA, COTAL is a Occupational Therapy Assistant healthcare provider located in COLONIAL HEIGHTS, Virginia. NPI 1083336630 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · COLONIAL HEIGHTS, VA

Registration Details

NPI Number
1083336630
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2022 (3.9335173999911 yrs)
Last Updated
Sep 12, 2022
License
0131002-093 (VA)

Practice Information

Address
235 DUNLOP FARMS BLVD
COLONIAL HEIGHTS, VA, 238341792
Browse VA providers · Browse ZIP 23834
Phone
8049374096
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.