Evangeline R Randall, OT

NPI #1235807843 in Deming, New Mexico

Provider Information

NPI Number: 1235807843
Entity Type: Individual
Name: Evangeline R Randall, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 1321 E POPLAR ST
City: Deming
State: New Mexico
ZIP Code: 88030-4807
Phone: (575) 546-5951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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