Individual
JULIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
2929 5TH AVE NE, SUITE A, PUYALLUP, WA 98372-6782
(253) 447-8216
(253) 447-8789
Mailing address
8914 180TH STREET CT E, PUYALLUP, WA 98375-6235
(253) 875-7701
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60664001
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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