MISS Randi Rose Fennig

NPI #1831865302 in Glendale, Wisconsin

Provider Information

NPI Number: 1831865302
Entity Type: Individual
Name: MISS Randi Rose Fennig
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 17, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 6263 N GREEN BAY AVE
City: Glendale
State: Wisconsin
ZIP Code: 53209-3823
Phone: (414) 351-0543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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