JENNIE RANDLE

SHEBOYGAN, WI
NPI1295325702
Former NameJENNIE SPOONHOUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3090)
Enumeration Date2021-01-19
Last Update Date2021-01-19
Business Address
JENNIE RANDLE PTA
2131 S BUSINESS DR
SHEBOYGAN, WI 53081-5656
Phone number: 920-917-7104
Mailing Address
JENNIE RANDLE PTA
2131 S BUSINESS DR
SHEBOYGAN, WI 53081-5656
Phone number: 920-917-7104