MR. Stephen Michael Medeiros, PTA

NPI #1376747659 in Warren, Rhode Island

Provider Information

NPI Number: 1376747659
Entity Type: Individual
Name: MR. Stephen Michael Medeiros, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 642 METACOM AVE
City: Warren
State: Rhode Island
ZIP Code: 02885-2350
Phone: (401) 245-2860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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