| 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 |