EARL RANDALL SMULLEN

GEORGETOWN, DE
NPI1851730600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  jj20000757)
Enumeration Date2013-06-14
Last Update Date2013-06-14
Business Address
Mr. EARL RANDALL SMULLEN PTA
12 GORDY ST
GEORGETOWN, DE 19947-2116
Phone number: 302-854-6677
Mailing Address
Mr. EARL RANDALL SMULLEN PTA
12 GORDY ST
GEORGETOWN, DE 19947-2116
Phone number: 302-854-6677
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