Individual
MR. RANDY G REGESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DHSC, PT,
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2990
Mailing address
81 SPRINGHILL DR, GREENBRIER, AR 72058-9235
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1928
AR
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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