Individual
MS. MARY JANE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
268 STRATHMORE LN, BLOOMINGDALE, IL 60108-1932
(630) 893-7479
Mailing address
268 STRATHMORE LN, BLOOMINGDALE, IL 60108-1932
(630) 893-7479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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