Individual
REBECCA JANE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Mailing address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1885
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006514
—
WV
Enumeration date
09/16/2006
Last updated
02/01/2024
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