NPI 1104215995

Randy Sibole

Practitioner Physical Therapy Assistant Lancaster, CA

Practice location

Address: 3228 W Avenue J3, Lancaster, CA 93536-6184
Phone: (661) 942-5191

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT1130 (CA)

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Registry record

NPI: 1104215995
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

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.