Individual
MRS. BRENDA JO RANDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2305 WILLIS MILLER DR, HUDSON, WI 54016-7999
(715) 386-1155
Mailing address
574 HAMILTON CT, RIVER FALLS, WI 54022-3126
(715) 425-7388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2129-19
WI
225200000X
Physical Therapy Assistant
A1505
MN
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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