Individual
MILTON GREGORY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5171 CUB LAKE RD., SUITE C 360, SHOW LOW, AZ 85901-7823
(928) 537-0248
(928) 537-0251
Mailing address
PO BOX 457, SHOW LOW, AZ 85902-0457
(928) 207-6873
(866) 762-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6094
AZ
2251G0304X
Geriatric Physical Therapist
6094
AZ
2251X0800X
Orthopedic Physical Therapist
6094
AZ
Other
Enumeration date
06/17/2006
Last updated
09/16/2015
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