Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randy Sibole

Individual provider Physical Therapy Assistant · NPI 1104215995

Randy Sibole is a Physical Therapy Assistant in Lancaster, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

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

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT1130 (CA)

Record details

NPI number1104215995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJanuary 15, 2015
Mailing address3228 W Avenue J3, Lancaster, CA 93536-6184

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