BRANDY NICOLE RANDOLPH

BROKEN ARROW, OK
NPI1083271993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  1957)
Enumeration Date2019-05-27
Last Update Date2019-05-27
Business Address
BRANDY NICOLE RANDOLPH PTA
17110 E 51ST ST
BROKEN ARROW, OK 74012-9279
Phone number: 918-355-1596
Mailing Address
BRANDY NICOLE RANDOLPH PTA
2914 S 125TH EAST AVE
TULSA, OK 74129-8427
Phone number: 918-815-1486
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