MR. Randall Ray Ironside, PT

NPI #1962473421 in Rogers, Arkansas

Provider Information

NPI Number: 1962473421
Entity Type: Individual
Name: MR. Randall Ray Ironside, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 31, 2006
Last Updated: Mar 6, 2008

Practice Location

Address: 3625 W CHESTNUT ST
City: Rogers
State: Arkansas
ZIP Code: 72756
Phone: (479) 631-3955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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