Individual
JYLIAN PEARL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3435 LIVERNOIS RD, TROY, MI 48083-5063
(248) 353-1234
(248) 353-1211
Mailing address
1080 KIRTS BLVD STE 500, TROY, MI 48084-4882
(248) 353-1234
(248) 353-1211
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
10/08/2020
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