Individual
RANDY VEROLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3728
NC
225200000X
Physical Therapy Assistant
PTA10822
FL
225700000X
Massage Therapist
MA9393
FL
Other
Enumeration date
06/01/2007
Last updated
03/17/2018
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