Individual
STEPHANIE RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5411 I-55 NORTH FRONTAGE RD, JACKSON, MS 39026
(769) 251-2098
Mailing address
605 BELLE OAK LN, BRANDON, MS 39042-8102
(601) 201-5516
(601) 510-9012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5291
MS
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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