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Organization
RANDOLPH SPORTS PHYSICAL THERAPY, INC.
Active
Organization
RANDOLPH SPORTS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A RANDOLPH PT (OWNER)
(708) 359-6255
Entity
Organization
Contact information
Practice address
1321 PRAIRIE ESTATE DR, NEW LENOX, IL 60451-2837
(815) 462-7778
Mailing address
1321 PRAIRIE ESTATE DR, NEW LENOX, IL 60451-2837
(815) 462-7778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012723
IL
Other
Enumeration date
03/26/2009
Last updated
05/02/2013
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