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Individual

SEAN RANDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3570 WASHINGTON PIKE, BRIDGEVILLE, PA 15017-1089
(412) 257-2474
Mailing address
3570 WASHINGTON PIKE, BRIDGEVILLE, PA 15017

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010562
PA

Other

Enumeration date
06/14/2017
Last updated
06/14/2017
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