Individual
MR. RANDEE A GIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
7706 FERN HOLLOW DR, CHESTERFIELD, VA 23832-2547
(804) 306-4958
Mailing address
7706 FERN HOLLOW DR, CHESTERFIELD, VA 23832-2547
(804) 306-4958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004844
VA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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