Todd Vincent Randall in Beavercreek - Physical Therapist

Todd Vincent Randall - NPI 1023191715

Todd Vincent Randall is a Physical Therapist in Beavercreek, Ohio. Todd Vincent Randall practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Todd Vincent Randall is 1023191715. The last update date is 2010-08-26.

Todd Vincent Randall's current location address is 3224 Dayton Xenia Rd, Beavercreek, Ohio. You can contact this provider via phone number 9374265555 and fax number 9374265556. The mailing address for Todd Vincent Randall is 3224 Dayton Xenia Rd, Beavercreek, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd Vincent Randall
Address 3224 Dayton Xenia Rd, Beavercreek, Ohio
Phone Number 9374265555
Fax Number 9374265556
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1023191715
Provider Enumeration Date 2006-10-24
Last Updated Date 2010-08-26

Provider Mailing Address Detail

Address 3224 Dayton Xenia Rd
City Beavercreek
State Ohio (OH)
Post Code 454346481
Phone Number 9374265555
Fax Number 9374265556

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 11055
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
360867 OH ANTHEM PIN
108341 OH --

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FAQs about Todd Vincent Randall

What is the unique 10-digit identification code issued to Todd Vincent Randall by the Centers for Medicare & Medicaid Services?

The Todd Vincent Randall has been assigned the NPI (National Provider Identifier) 1023191715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Todd Vincent Randall is physically located?

The Todd Vincent Randall is physically situated at the following address: 3224 Dayton Xenia Rd, Beavercreek, OH, 454346481.

What is Todd Vincent Randall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Todd Vincent Randall is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023191715 to Todd Vincent Randall?

The Centers for Medicare & Medicaid Services originally issued the 1023191715 to Todd Vincent Randall on 2006-10-24.

When was the information related to Todd Vincent Randall most recently updated or refreshed?

The details pertaining to the Todd Vincent Randall, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-26.

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