RANDY LEE MATLOCK

COLUMBUS, OH
NPI1316355373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA1478)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- RANDY LEE MATLOCK
4927 LUNAR DR
COLUMBUS, OH 43214-1735
Phone number: 614-668-4786
Mailing Address
-- RANDY LEE MATLOCK
4927 LUNAR DR
COLUMBUS, OH 43214-1735
Phone number: 614-668-4786
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