Medina, Omar

Medina, Omar is an individual health care provider with primary practice located at 235 Dunlop Farms Blvd , Colonial Heights VA 23834-1792. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Medina, Omar can be contacted via phone (804) 937-4096.

Contact Information

Primary practice address
235 Dunlop Farms Blvd Colonial Heights VA 23834-1792
Phone: (804) 937-4096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 0131002-093 Virginia

Profile Details

NPI number 1083336630
LBN Legal business name Medina, Omar
Credentials COTAL
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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