| NPI | 1730562729 |
|---|---|
| Former Name | ALEX RANDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.015267) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2018-07-09 |