| NPI | 1407893043 |
|---|---|
| Other Name | RANDY ALLEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 0670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 6441354-2401) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-02-27 |