| NPI | 1255376240 |
|---|---|
| Professional Name | M GREGOR RANDALL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6094) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ 6094) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 6094) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2015-09-16 |