Individual
MICHELLE LYNN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
512 CRESCENT DR, TROY, OH 45373-2718
(937) 335-7161
Mailing address
355 BOBBITT RD, WILMINGTON, OH 45177-7525
(937) 552-6097
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10346
OH
Other
Enumeration date
06/20/2017
Last updated
06/16/2018
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