Individual
KEITH RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
Mailing address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10182
AZ
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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