Individual
MR. RONALD DAVID FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.T.
Contact information
Practice address
130 E FIFTH ST, MEDIA, PA 19063-3011
(610) 565-3922
Mailing address
130 E FIFTH ST, MEDIA, PA 19063-3011
(610) 565-3922
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016136-00
NATIONAL CERTIFICATION BOARD FOR MASSAGE AND BODYWORK
PA
Enumeration date
02/17/2010
Last updated
02/17/2010
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