| NPI | 1225214638 |
|---|---|
| Former Name | TAWNI JO RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34332) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2025-02-13 |