RANDY TINGWALL

CAPE GIRARDEAU, MO
NPI1467591420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- RANDY TINGWALL
240 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703-4918
Phone number: 573-334-6711
Mailing Address
-- RANDY TINGWALL
33 KERN
BENTON, MO 63736-9221
Phone number: