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Mr. STEPHEN MICHAEL MEDEIROS -- pta

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1376747659
Provider Type
Individual Provider (NPI-1)
Credentials
pta
Status
Active

Contact & Location

Address
642 METACOM AVE, WARREN, RI, 028852350
Phone
(401) 245-2860
Fax
(401) 245-0959

Specialties & Taxonomies

Physical Therapy Assistant Primary License: RI #pta00398

All Addresses

MAILING

6 JENNY LN

BRISTOL, RI, 028094138

LOCATION

642 METACOM AVE

WARREN, RI, 028852350

(401) 245-2860