Individual
MRS. KAREN MARIE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, COMT
Contact information
Practice address
9437 OLIVE BLVD, OLIVETTE, MO 63132-3130
(314) 989-9500
Mailing address
455 FALL RIVER LN, SAINT CHARLES, MO 63304-8501
(314) 791-5884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009038744
MO
Other
Enumeration date
01/06/2010
Last updated
10/06/2014
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