Medina-Diaz, Grizelle Esther

Medina-Diaz, Grizelle Esther is an individual health care provider with primary practice located at 680 Main St Ste 305 , Watertown CT 06795-2656. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Medina-Diaz, Grizelle Esther can be contacted via phone (203) 707-8962.

Contact Information

Primary practice address
680 Main St Ste 305 Watertown CT 06795-2656
Phone: (203) 707-8962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1164179677
LBN Legal business name Medina-Diaz, Grizelle Esther
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2022
Last updated Mar 4th, 2022 - about 2 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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