| NPI | 1346489986 |
|---|---|
| Other Name | RANDOLPH BOWLING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 3094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 292480) |
| 225100000X Physical Therapist (Licence: OR 06198) | |
| 225100000X Physical Therapist (Licence: MO 2010032120) | |
| 225100000X Physical Therapist (Licence: TX 1184200) | |
| 225100000X Physical Therapist (Licence: NM 3625) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2019-06-27 |