Individual
THOMAS MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 HALIFAX ST, ROANOKE RAPIDS, NC 27870-3015
(980) 428-2572
Mailing address
819 HALIFAX ST, ROANOKE RAPIDS, NC 27870-3015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603848
VA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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