JARED THOMAS RANDOLPH

OWENSBORO, KY
NPI1225780034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02450)
Enumeration Date2022-01-23
Last Update Date2022-01-23
Business Address
JARED THOMAS RANDOLPH
1614 W PARRISH AVE
OWENSBORO, KY 42301-3535
Phone number: 270-684-4559
Mailing Address
JARED THOMAS RANDOLPH
1721 DANIELS LN
OWENSBORO, KY 42303-9675
Phone number: 270-929-8652
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