NPI 1003427444

Landis Randall Mains, PTDPT

Practitioner Orthopedic Physical Therapist Glendale, AZ

Practice location

Address: 9980 W Glendale Ave STE 110, Glendale, AZ 85307-3005
Phone: (623) 242-6908
Mailing address: 3212 W Walter Way, Phoenix, AZ 85027-1075

Registered specialties

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence LPT31413 (AZ)

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Registry record

NPI: 1003427444
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2020
Record last updated: 10 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.