IAN RANDANT

DANVILLE, WV
NPI1245953264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  Pta1526)
Enumeration Date2022-09-23
Last Update Date2022-09-23
Business Address
IAN RANDANT
298 TRICORN RD
DANVILLE, WV 25053-7148
Phone number: 303-043-6913
Mailing Address
IAN RANDANT
PO BOX 102
SYLVESTER, WV 25193-0102
Phone number: