Individual
RANDY SIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
515 BRIGHTFIELD RD, TIMONIUM, MD 21093-3643
(410) 296-1990
Mailing address
PO BOX 15031, BALTIMORE, MD 21282-5031
(443) 860-9168
(443) 636-5987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23121
MD
2251G0304X
Geriatric Physical Therapist
Primary
23121
MD
Other
Enumeration date
10/21/2015
Last updated
10/14/2021
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