Individual
MR. NEIL EDWARD MEDINA ABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 UNDERCLYFFE RD, ST JOHNSBURY, VT 05819-1035
(802) 745-7132
Mailing address
117 UNDERCLYFFE RD, ST JOHNSBURY, VT 05819-1035
(802) 745-7132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0129870
VT
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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