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1982036737
MATTHEW DAVID MEDEIROS
EAST PROVIDENCE, RI
NPI
1982036737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT02612)
Enumeration Date
2013-08-04
Last Update Date
2019-02-15
Business Address
Mr. MATTHEW DAVID MEDEIROS DPT
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914-5375
Phone number: 401-868-4249
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Mailing Address
Mr. MATTHEW DAVID MEDEIROS DPT
PO BOX 1119
PROVIDENCE, RI 02901-1119
Phone number: 401-868-4248
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