IndividualActive
Deanna Medina, OTR/L
NPI 1861454415 · Occupational Therapist · Jber, AK
Provider details
- NPI number
- 1861454415
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 106340 (TX)
Practice location
5955 Zeamer Ave
673 Mdos/Sgoy
Jber, AK 99506-3702
Phone: (907) 580-1530
Mailing address
88 Ndg/Sghj
Wright-Patterson Afb, OH 45433
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2020-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.