Individual
DYLAN MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
1812 MAIN RD, TIVERTON, RI 02878-4625
(401) 625-9855
(401) 625-9856
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03938
RI
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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