Bethany Danielle Randall, COTA

NPI #1114651452 in Jacksonville, Illinois

Provider Information

NPI Number
1114651452
Entity Type
Individual
Name
Bethany Danielle Randall, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jul 12, 2022
Last Updated
Jul 12, 2022

Practice Location

Address
873 GROVE ST
ZIP Code
62650-2828
Phone
(217) 479-3400

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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