Individual
RANDY M. BRATRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2251 N 32ND ST, LOT #7, MESA, AZ 85213-2423
(480) 830-2045
Mailing address
2251 N 32ND ST, LOT #7, MESA, AZ 85213-2423
(480) 830-2045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0815
AZ
Other
Enumeration date
07/18/2006
Last updated
07/15/2013
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