Jennie Randle, PTA

NPI #1295325702 in Sheboygan, Wisconsin

Provider Information

NPI Number
1295325702
Entity Type
Individual
Name
Jennie Randle, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 19, 2021
Last Updated
Jan 19, 2021

Practice Location

Address
2131 S BUSINESS DR
ZIP Code
53081-5656
Phone
(920) 917-7104

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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