MRS. Conny Christl Randolph, PHYSICAL THERAPIST

NPI #1306930979 in Columbia, Mississippi

Provider Information

NPI Number: 1306930979
Entity Type: Individual
Name: MRS. Conny Christl Randolph, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 808 HWY 98 BYPASS
City: Columbia
State: Mississippi
ZIP Code: 39429-0429
Phone: (601) 731-1140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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