Individual
ANDREW RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
SANFORD BROADWAY MEDICAL BUILDING 736 BROADWAY N, FARGO, ND 58122-4001
(701) 234-6735
Mailing address
SANFORD BROADWAY MEDICAL BUILDING 736 BROADWAY N, FARGO, ND 58122-4001
(701) 234-6735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11716
MN
225100000X
Physical Therapist
Primary
2226
ND
Other
Enumeration date
07/19/2017
Last updated
06/11/2024
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