Individual
RANDA JO BRAUNAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5755 E STATE ROAD 244, SHELBYVILLE, IN 46176-8817
(317) 797-8423
(765) 525-9398
Mailing address
5755 E STATE ROAD 244, SHELBYVILLE, IN 46176-8817
(317) 797-8423
(765) 525-9398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000175A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612880
—
IN
Enumeration date
06/11/2008
Last updated
06/11/2008
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