Mr Randall L Haratyk, PT | |
600 Rincon Rd, Corrales, NM 87048-7651 | |
(505) 899-1509 | |
(505) 890-7380 |
Full Name | Mr Randall L Haratyk |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 600 Rincon Rd, Corrales, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386658680 | NPI | - | NPPES |
OOQ464 | Other | NM | BCBS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2240 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Randall L Haratyk, PT 600 Rincon Rd, Corrales, NM 87048-7651 Ph: (505) 899-1509 | Mr Randall L Haratyk, PT 600 Rincon Rd, Corrales, NM 87048-7651 Ph: (505) 899-1509 |
Diane Marice Pawliczek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Fourwing Ct, Corrales, NM 87048 Phone: 505-977-8871 Fax: 505-792-2836 | |
Mr. Robert Culpepper Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Rancho Alondra Road, Corrales, NM 87048 Phone: 505-897-8723 Fax: 505-987-8723 |