Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRIZELLE ESTHER MEDINA-DIAZ
ActiveArt Therapist · WATERTOWN, CT
Registration Details
- NPI Number
- 1164179677
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2022 (4.1343180763901 yrs)
- Last Updated
- Mar 4, 2022
Practice Information
- Address
-
680 MAIN ST STE 305WATERTOWN, CT, 067952656Browse CT providers · Browse ZIP 06795
- Phone
- 2037078962
- Primary Specialty
-
Art Therapist
221700000X
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.