MS. Tonya Jean Randle, PTA

NPI #1568711331 in Kankakee, Illinois

Provider Information

NPI Number: 1568711331
Entity Type: Individual
Name: MS. Tonya Jean Randle, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 7, 2012
Last Updated: Sep 7, 2012

Practice Location

Address: 1601 BUTTERFIELD TRAIL
City: Kankakee
State: Illinois
ZIP Code: 60901
Phone: (815) 936-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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