Individual
RANDALL FREEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 TIMBERLINE DR, RUSSELLVILLE, AL 35653-6131
(256) 668-4148
Mailing address
41 TIMBERLINE DR, RUSSELLVILLE, AL 35653-6131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5885
AL
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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