Individual
MRS. BETSY DAVIS RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003795
CT
225X00000X
Occupational Therapist
017019-1
NY
225X00000X
Occupational Therapist
3561
NH
225X00000X
Occupational Therapist
Primary
OT3658
ME
Other
Enumeration date
10/16/2009
Last updated
05/08/2024
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