Individual
RANDALL SCOTT SONDROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5963
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6639
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013653
AMERICA'S PPO
MN
01
—
57G93SO
BCBS OF MN
MN
01
—
6404322
MEDICA
MN
01
—
HP35077
HEALTHPARTNERS
MN
Enumeration date
09/25/2006
Last updated
07/08/2007
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