Amy Randol

NPI #1184166696 in Ashburn, Virginia

Provider Information

NPI Number: 1184166696
Entity Type: Individual
Name: Amy Randol
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 15, 2016
Last Updated: Nov 15, 2016

Practice Location

Address: 21160 MAPLE BRANCH TER
City: Ashburn
State: Virginia
ZIP Code: 20147-6160
Phone: (571) 291-6192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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