Individual
MR. JOSH T RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 PAWTUCKET AVE, PAWTUCKET, RI 02860
(401) 728-2200
(401) 728-2031
Mailing address
1217 HOPE ST, BRISTOL, RI 02809
(401) 396-9023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01693
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409089
BLUE CHIP
—
01
—
6400457
UNITED HEALTH
—
Enumeration date
07/28/2006
Last updated
07/08/2007
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