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Organization
TRI-CITIES PHYSICAL THERAPY
Active
Organization
TRI-CITIES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY ROYAL METHVIN PTA (OWNER/PARTNER)
(760) 946-2165
Entity
Organization
Contact information
Practice address
19031 US HIGHWAY 18, STE 100, APPLE VALLEY, CA 92307-2515
(760) 946-2165
(760) 946-2169
Mailing address
19031 OUTER HIGHWAY 18, STE 100, APPLE VALLEY, CA 92307
(760) 946-2165
(760) 946-2169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12940
CA
Other
Enumeration date
06/27/2006
Last updated
07/11/2008
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