| NPI | 1891949012 |
|---|---|
| Former Name | RANDI L MEHMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 004986) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 00573) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2013-07-19 |