Brenda Marie Randolph, LMT

NPI #1639949076 in Lindenhurst, New York

Provider Information

NPI Number: 1639949076
Entity Type: Individual
Name: Brenda Marie Randolph, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 8, 2024
Last Updated: Jan 8, 2024

Practice Location

Address: 672 WELLWOOD AVE UNIT 2
City: Lindenhurst
State: New York
ZIP Code: 11757-1677
Phone: (631) 225-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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