Individual
MARK CLAYTON DE BINDER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LMT
Contact information
Practice address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 965-9756
Mailing address
97 FARNUM PIKE UNIT 7, SMITHFIELD, RI 02917-3319
(401) 965-9756
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT02104
RI
173C00000X
Reflexologist
MT02104
RI
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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