Individual
KATHERINE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2145 COUNTRY CLUB RD STE 200, JACKSONVILLE, NC 28546-2404
(252) 726-1802
(252) 726-1805
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02200500
NJ
225100000X
Physical Therapist
Primary
CPO25249T
NC
Other
Enumeration date
04/29/2025
Last updated
06/05/2025
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