Individual
MS. RICHELLE LYNN RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1810 N PAULINA ST APT 1F, CHICAGO, IL 60622-1108
(708) 250-1535
Mailing address
1810 N PAULINA ST APT 1F, CHICAGO, IL 60622-1108
(708) 250-1535
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056007032
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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