Individual
DR. BILLIE JANE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-4611
Mailing address
6394 TRUE LN, SPRINGFIELD, VA 22150-1030
(703) 971-5769
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305204969
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000736
STATE LICENSE
KY
01
—
2305204969
STATE LICENSURE BOARD
VA
Enumeration date
10/27/2005
Last updated
02/26/2014
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