Brandy Nicole Randolph, PTA
NPI #1083271993 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1083271993
- Entity Type
- Individual
- Name
- Brandy Nicole Randolph, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 27, 2019
- Last Updated
- May 27, 2019
Practice Location
- Address
- 17110 E 51ST ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-9279
- Phone
- (918) 355-1596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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