Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Emilie Carbonel Medrano, MOT, OTRL

Individual provider Pediatric Occupational Therapist · NPI 1407993793

Mrs. Emilie Carbonel Medrano, MOT, OTRL is a Pediatric Occupational Therapist in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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Practice location Address checks out

2767 N Fox Run Dr
Flagstaff, AZ 86004-7685
Phone: (928) 699-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 3424 (AZ)

Record details

NPI number1407993793
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTRL
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

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