Randolph Raj, PTA
NPI #1558525907 in Bensenville, Illinois
Provider Information
- NPI Number
- 1558525907
- Entity Type
- Individual
- Name
- Randolph Raj, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 15, 2008
- Last Updated
- Jul 15, 2008
Practice Location
- Address
- 111 E WASHINGTON ST
- City
- Bensenville
- State
- Illinois
- ZIP Code
- 60106-2674
- Phone
- (630) 521-8252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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