Individual
MR. MARK STEVEN LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
26 OLD POUND HILL RD, NORTH SMITHFIELD, RI 02896-9589
(401) 766-0849
Mailing address
26 OLD POUND HILL RD, NORTH SMITHFIELD, RI 02896-9589
(401) 766-0849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
41
RI
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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