Randie Mendoza Ocomen, PT
Physical Therapist in Bad Axe, MI. Individual provider (NPI-1).
NPI number1508009895
StatusActive
Last updated in NPPESApr 15, 2009
Details
- NPI
- 1508009895
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randie Mendoza Ocomen
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2009
- Last updated
- Apr 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501005670 | MI | Yes |
Practice location
110 E Huron Ave Ste BBad Axe, MI 48413-1313
Phone 989-553-5348
Mailing address
110 E Huron Ave Ste BBad Axe, MI 48413-1313
Phone 989-553-5348
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