Individual
RANDALL PATRICK JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, PTA, CBIS
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6239
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5073
CA
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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