RANDALL RAY IRONSIDE

ROGERS, AR
NPI1962473421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT396)
Enumeration Date2006-01-31
Last Update Date2008-03-06
Business Address
Mr. RANDALL RAY IRONSIDE PT
3625 W CHESTNUT ST
ROGERS, AR 72756
Phone number: 479-631-3955
Mailing Address
Mr. RANDALL RAY IRONSIDE PT
908 NW 8TH ST
BENTONVILLE, AR 72712
Phone number: 479-273-1141
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