Randi Deyong
NPI #1528796943 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1528796943
- Entity Type
- Individual
- Name
- Randi Deyong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Aug 12, 2022
- Last Updated
- Aug 12, 2022
Practice Location
- Address
- 200 BRIGHTLY WAY
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3415
- Phone
- (618) 307-5034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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