Individual
MARIA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1635 SW 304TH ST, FEDERAL WAY, WA 98023-3431
(253) 945-2300
Mailing address
3026 BEACON AVE S APT 303, SEATTLE, WA 98144-5856
(360) 747-2844
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60842533
WA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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