David Charles Randall, MPT

NPI #1952842742 in Melbourne Beach, Florida

Provider Information

NPI Number: 1952842742
Entity Type: Individual
Name: David Charles Randall, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 527 AVENUE B
City: Melbourne Beach
State: Florida
ZIP Code: 32951-2216
Phone: (321) 482-4982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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