Individual
RANDY LAVERNE CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
(205) 314-7227
(205) 314-7222
Mailing address
245 CAHABA VALLEY DRIVE, BIRMINGHAM, AL 35124
(205) 314-7227
(205) 314-7222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2366
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51521531
BCBS
AL
Enumeration date
04/19/2007
Last updated
08/15/2012
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