Randy Parent

NPI #1861875015 in Forest Lake, Minnesota

Provider Information

NPI Number: 1861875015
Entity Type: Individual
Name: Randy Parent
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 7, 2015
Last Updated: Jul 7, 2015

Practice Location

Address: 604 1ST ST NE
City: Forest Lake
State: Minnesota
ZIP Code: 55025-1202
Phone: (651) 466-1025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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