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Individual

MR. RANDALL SCOTT LOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.T.R.

Contact information

Practice address
1206 EISENHOWER DR, AUGUSTA, GA 30904-5916
(706) 825-9512
(706) 738-5518
Mailing address
1206 EISENHOWER DR, AUGUSTA, GA 30904-5916
(706) 825-9512
(706) 738-5518

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002007
GA

Other

Enumeration date
01/08/2007
Last updated
07/09/2007
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