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Tony D. Randle
Rehabilitation Practitioner in Pasadena, California
NPI 1528181567

Tony D. Randle is a Rehabilitation Practitioner based in San Gabriel, CA. Tony D. Randle practices in Pasadena, CA. The NPI Number for Tony D. Randle is 1528181567 and holds a License No. (California).

The current practice location address for Tony D. Randle is 2055 Lincoln Ave, Pasadena, CA and can be reached out via phone at 626-798-6793.

Location: 2055 Lincoln Ave, Pasadena, CA, 91776-2856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528181567
Provider Name
Tony D. Randle
Credential
Provider Entity Type
Individual
Gender
Male
Address
2055 Lincoln Ave, Pasadena, CA, 91776-2856
Phone Number
626-798-6793
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2055 Lincoln Ave
City
Pasadena
State
California
Zip
91103-1324
Phone Number
626-798-6793
Fax Number
person
Provider Business Mailing Address Details
Address
2055 Lincoln Ave
City
Pasadena
State
California
Zip
91103-1324
Phone Number
626-798-6793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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