Individual
MR. JOHN RANDALL MAGIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
216 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2031
(239) 772-4600
Mailing address
804 SW 2ND AVE, CAPE CORAL, FL 33991-2501
(239) 839-7997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA18811
FL
225X00000X
Occupational Therapist
Primary
OT9883
FL
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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