Susan Randall
NPI #1922784347 in White Hall, Illinois
Provider Information
- NPI Number
- 1922784347
- Entity Type
- Individual
- Name
- Susan Randall
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jun 22, 2023
- Last Updated
- Jun 22, 2023
Practice Location
- Address
- 620 W BRIDGEPORT ST
- City
- White Hall
- State
- Illinois
- ZIP Code
- 62092-1001
- Phone
- (217) 374-2144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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