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Individual

DOROTHY ALEXANDRA RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1777 W SAINT MARYS RD STE 121, TUCSON, AZ 85745-2688
(520) 884-9819
Mailing address
1777 W SAINT MARYS RD STE 121, TUCSON, AZ 85745-2688
(520) 884-9819
(520) 884-9819

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13555
AZ
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13555
PT LICENSE
AZ
Enumeration date
01/26/2018
Last updated
11/05/2021
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