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Search › Oklahoma › 225200000X

Brandy Randolph, PTA

NPI 1083271993 · on the registry since 2019 · sole proprietor

Practice

Address
17110 E 51st St
Broken Arrow, OK 74012
Phone
(918) 355-1596
Organisation at this address
Genesis
City Of Sapulpa
St John Villas Inc
St.John Villas Inc
Franciscan Villa Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma