Individual
WILLIAM RANDLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
PO BOX 261, DEERFIELD, WI 53531-0261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7038-27
WI
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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