MR. Michael Gene Randall, PTA

NPI #1760047989 in Keene, Texas

Provider Information

NPI Number
1760047989
Entity Type
Individual
Name
MR. Michael Gene Randall, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PTA
Enumeration Date
May 2, 2019
Last Updated
May 2, 2019

Practice Location

Address
207 S OLD BETSY RD
City
Keene
State
Texas
ZIP Code
76059-2426
Phone
(817) 645-8888

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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