RANDALL J SOUTHARD

PITTSBURG, KS
NPI1497865018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-02934)
Enumeration Date2006-08-30
Last Update Date2007-12-06
Business Address
-- RANDALL J SOUTHARD RPT
107 N PINE ST STE A
PITTSBURG, KS 66762-4743
Phone number: 620-231-5855
Mailing Address
-- RANDALL J SOUTHARD RPT
107 N PINE ST STE A PO BOX 1539
PITTSBURG, KS 66762-4743
Phone number: 620-231-5855
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