Individual
MR. TIMOTHY JOSEPH BILODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
120 BURNSIDE ST, CRANSTON, RI 02910-1732
(401) 430-4203
Mailing address
120 BURNSIDE ST, CRANSTON, RI 02910-1732
(401) 430-4203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01899
RI
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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