Individual
SHARON RAE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2255 GREEN VISTA DR, SPARKS, NV 89431-8534
(775) 673-9700
Mailing address
PO BOX 1498, CARSON CITY, NV 89702-1498
(775) 267-4175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1669
NV
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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