Individual
RANDI DECAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6701 JERSEY RIDGE RD, DAVENPORT, IA 52807-3203
(563) 324-1621
Mailing address
504 N 8TH ST, LE CLAIRE, IA 52753-8601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004800
IA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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