Individual
MR. RANDALL KEITH LANGLEY
Active
Individual
MR. RANDALL KEITH LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT 655
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010009145
BLUE SHIELD
—
05
—
002779700
—
ID
01
—
650012139
RAILROAD MEDICARE
—
01
—
T4371
BLUE CROSS
—
Enumeration date
10/06/2006
Last updated
07/23/2008
Update your record
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