Betty Jakubik-Randolph, PTA

NPI #1093077711 in Largo, Florida

Provider Information

NPI Number
1093077711
Entity Type
Individual
Name
Betty Jakubik-Randolph, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
PTA
Enumeration Date
Jun 8, 2012
Last Updated
Jun 8, 2012

Practice Location

Address
740 13TH AVE SW
City
Largo
State
Florida
ZIP Code
33770-4442
Phone
(727) 204-2976

Specialties & Taxonomy Codes

Specialty
Specialist

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