Individual
RANDY PATRICK LAICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8111
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4401
LA
Other
Enumeration date
10/25/2011
Last updated
03/03/2025
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