Individual
MR. RANDY LEE STAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
216 E COMSTOCK ST STE C, OWOSSO, MI 48867-3161
(989) 729-2929
(989) 729-6481
Mailing address
720 N PARK ST, OWOSSO, MI 48867-1747
(989) 723-6261
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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