Individual
RANDALL W HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
916 SW 38TH ST, SUITE C, LAWTON, OK 73505-7005
(580) 353-1490
(580) 250-1651
Mailing address
916 SW 38TH ST, SUITE C, LAWTON, OK 73505-7005
(580) 353-1490
(580) 250-1651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1379
OK
Other
Enumeration date
06/16/2006
Last updated
08/15/2016
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