Michael Medeiros, ATC
NPI #1184687956 in Portsmouth, Rhode Island
Provider Information
- NPI Number
- 1184687956
- Entity Type
- Individual
- Name
- Michael Medeiros, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 75 ADAMS DR
- City
- Portsmouth
- State
- Rhode Island
- ZIP Code
- 02871-5428
- Phone
- (401) 849-0098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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