Individual
RANDALL KENT WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
Mailing address
435 17TH AVE N APT 1, ST PETERSBURG, FL 33704-4356
(352) 538-2661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31826
FL
Other
Enumeration date
03/15/2022
Last updated
03/21/2022
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