LANDIS RANDALL MAINS

GLENDALE, AZ
NPI1003427444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: AZ  LPT31413)
Enumeration Date2020-08-10
Last Update Date2020-08-10
Business Address
Mr. LANDIS RANDALL MAINS PT, DPT
9980 W GLENDALE AVE STE 110
GLENDALE, AZ 85307-3005
Phone number: 623-242-6908
Mailing Address
Mr. LANDIS RANDALL MAINS PT, DPT
3212 W WALTER WAY
PHOENIX, AZ 85027-1075
Phone number: 520-861-4502