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Individual

ZACHARY JAMES RANDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
60368 COTTON GIN PORT RD, AMORY, MS 38821
(662) 257-3669
(662) 257-3961
Mailing address
60368 COTTON GIN PORT RD, AMORY, MS 38821
(662) 257-3669
(662) 257-3961

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6683
MS

Other

Enumeration date
08/05/2019
Last updated
11/27/2023
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