Individual
MR. STEPHEN MICHAEL MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
642 METACOM AVE, WARREN, RI 02885-2350
(401) 245-2860
(401) 245-0959
Mailing address
6 JENNY LN, BRISTOL, RI 02809-4138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00398
RI
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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