Individual
MARK CLAYTON DE BINDER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LMT
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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