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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDOLPH GEORGE ICE, RPT

Active

RANDOLPH GEORGE ICE, RPT is a Physical Therapy Assistant healthcare provider located in MURRIETA, California. NPI 1851375083 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MURRIETA, CA

Registration Details

NPI Number
1851375083
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2005 (20.518281844728 yrs)
Last Updated
Oct 7, 2009
Licenses
PT6020 (CA)
PT 6020 (CA)

Practice Information

Address
25150 HANCOCK AVE
STE 100
MURRIETA, CA, 925625987
Browse CA providers · Browse ZIP 92562
Phone
9516987720
Fax
9516987451
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
2251C2600X

Other Physical Therapy Assistant Providers in MURRIETA, CA

Name Credential NPI
KRIS MANKIN MPT 1497739759
JOHN ROBERT WAITE PT DPT OCS 1063496289
MARK CHRISTOPHER HANS PT, MPT 1780668665
WESTON ALEXANDER SMITH DPT, OCS 1588648349
MICHELLE RENEE CLARK PT 1699750778
ALANA CHRISTINE TUCKER PT 1710962899
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.