Whalio Doctors

NPI 1841228657

Randall Komacko, PT

Practitioner Specialist Monongahela, PA

Practice location

Address
1027 Country Club Rd, Monongahela, PA 15063-1553
Phone
(724) 258-6211
Fax
(724) 258-6225

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence PT011524L (PA)

Registry record

NPI
1841228657
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jun 2006
Record last updated
9 Jul 2007

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.