Individual
MR. ROBERT C MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(401) 849-7100
Mailing address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(401) 849-7100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00492
RI
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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