RANDY SIBOLE

Physical Therapy Assistant

Active Individual
NPI: 1104215995

Practice Address

3228 W AVENUE J3
Lancaster, CA 93536

Phone: (661) 942-5191

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes AT1130 (CA)

Frequently Asked Questions

NPI 1104215995 is the National Provider Identifier for RANDY SIBOLE, a Physical Therapy Assistant provider located in Lancaster, CA. This NPI was enumerated on January 15, 2015.
RANDY SIBOLE practices at 3228 W AVENUE J3, Lancaster, CA 93536.

Quick Facts

NPI
1104215995
Type
Individual
Enumerated
Jan 15, 2015
Last Updated
Jan 15, 2015

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