Individual provider · Type 1 NPI

Randi Rose Fennig

Physical Therapy Assistant · Glendale, WI

NPI number 1831865302 Active

Practice location

6263 N Green Bay Ave
Glendale, WI 53209-3823

Call (414) 351-0543 Map

Mailing address

10355 W Plum Tree Cir Apt 201
Hales Corners, WI 53130-2634

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X314319 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1831865302

Randi Rose Fennig's National Provider Identifier is 1831865302, issued on Aug 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glendale, WI. The record was last updated on Aug 17, 2021.