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Organization
RANDY L LINDSEY PT AT C INC PS
Active
Organization
RANDY L LINDSEY PT AT C INC PS
Active
Parent organization
RANDY L LINDSEY PT AT C INC PS
Other names
Colville Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANDY L LINDSEY PT AT C INC PS
Authorized official
CAROL BRADEEN (OWNER)
(509) 991-1326
Entity
Organization
Contact information
Practice address
217 E 2ND AVE, COLVILLE, WA 99114-2903
(509) 684-5027
(509) 684-6133
Mailing address
217 E 2ND AVE, COLVILLE, WA 99114-2903
(509) 684-5027
(509) 684-6133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178076
L&I
WA
05
—
1235151986
—
WA
Enumeration date
07/24/2006
Last updated
03/14/2018
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