Randolph, Brandy Nicole

Randolph, Brandy Nicole is an sole proprietor health care provider with primary practice located at 17110 E 51St St , Broken Arrow OK 74012-9279. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Randolph, Brandy Nicole can be contacted via phone (918) 355-1596.

Contact Information

Primary practice address
17110 E 51St St Broken Arrow OK 74012-9279
Phone: (918) 355-1596
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1957 Oklahoma

Profile Details

NPI number 1083271993
LBN Legal business name Randolph, Brandy Nicole
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2019
Last updated May 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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