Individual provider · Type 1 NPI

Miguel Medina, ITDS

Developmental Therapist · Village Of Palmetto Bay, FL

NPI number 1679671572 Active

Practice location

17615 Franjo Rd
Village Of Palmetto Bay, FL 33157-5636

Call (786) 268-2611 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1679671572

Miguel Medina, ITDS's National Provider Identifier is 1679671572, issued on Sep 21, 2006. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Village Of Palmetto Bay, FL. The record was last updated on Jul 9, 2007.