Individual
MR. ERIC C MEDVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
44 SOUTH MAIN STREET, RANDOLPH, VT 05060
(802) 728-7100
(802) 728-2610
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2229
(802) 728-2610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
ME264699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110570201
—
ME
Enumeration date
08/10/2006
Last updated
09/29/2010
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