RANDALL EDWARD OWENS

TAVARES, FL
NPI1245682574
Professional NameRANDALL EDWARD OWEBS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 25771)
Enumeration Date2016-07-11
Last Update Date2016-07-11
Business Address
Mr. RANDALL EDWARD OWENS PTA
15745 DORA AVE
TAVARES, FL 32778-4943
Phone number: 352-357-8358
Mailing Address
Mr. RANDALL EDWARD OWENS PTA
15745 DORA AVE
TAVARES, FL 32778-4943
Phone number: 352-357-8358