Randy Sibole

NPI #1104215995 in Lancaster, California

Provider Information

NPI Number: 1104215995
Entity Type: Individual
Name: Randy Sibole
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 15, 2015
Last Updated: Jan 15, 2015

Practice Location

Address: 3228 W AVENUE J3
City: Lancaster
State: California
ZIP Code: 93536-6184
Phone: (661) 942-5191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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