NPI 1164179677

Grizelle Esther Medina-Diaz

Practitioner Art Therapist Watertown, CT

Practice location

Address: 680 Main St STE 305, Watertown, CT 06795-2656
Phone: (203) 707-8962
Mailing address: 118 Hart St APT 1w, New Britain, CT 06052-2105

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X

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Registry record

NPI: 1164179677
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2022
Record last updated: 4 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.