Individual
RANDY L HOLLRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
403 W. HWY 160, GAINESVILLE, MO 65655
(417) 679-4921
(417) 679-4211
Mailing address
PO BOX 628, GAINESVILLE, MO 65655-0628
(417) 679-4921
(417) 679-4211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108119
MO
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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