Individual provider · Type 1 NPI

Loly Michel Medina

Developmental Therapist · Woburn, MA

NPI number 1699201228 Active

Practice location

10P Gill St
Woburn, MA 01801-1721

Mailing address

2 Colonial Village Dr, Apt 10
Arlington, MA 02474-3924

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 1699201228

Loly Michel Medina's National Provider Identifier is 1699201228, issued on May 2, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Woburn, MA. The record was last updated on May 2, 2017.