Individual
MICHELLE RENEE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15025 SE 117TH ST, RENTON, WA 98059-6017
(425) 837-7531
Mailing address
15025 SE 117TH ST, RENTON, WA 98059-6017
(425) 837-7531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60550863
WA
Other
Enumeration date
11/21/2016
Last updated
01/05/2026
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