Individual
LATIFFIA RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3453 N IH 35 STE 120, SAN ANTONIO, TX 78219-2337
(210) 293-3111
(210) 293-3110
Mailing address
319 MASSACHUSETTS ST, HOUSTON, TX 77029-4738
(832) 816-2013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090381
TX
225200000X
Physical Therapy Assistant
2306603450
VA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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