Individual
EMILY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N. LOCUST, WAPELLA, IL 61777
(217) 876-2600
Mailing address
120 N LOCUST STREET, WAPELLA, IL 61777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020125
IL
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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