| Doctor Name: | MR. ERIC C MEDVED |
| NPI Number: | 1538170006 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | ME264699 |
| Business Practice Address: | 44 South Main Street Randolph, VT - 05060 |
| Business Phone Number: | 8027287100 |
| Business Fax Number: | 8027282610 |
| Mailing Address: | 44 S Main St, RANDOLPH |
| State: | VT |
| Postal Code: | 050601381 |
| Phone Number: | 8027282229 |
| Fax Number: | 8027282610 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 09/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | ME264699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |