Individual
KOURTNEY RANDSDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 HERITAGE RD, LANCASTER, PA 17602
(717) 572-7966
Mailing address
105 HERITAGE RD, LANCASTER, PA 17602-1597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012565
PA
225XG0600X
Gerontology Occupational Therapist
46TR00592700
NJ
Other
Enumeration date
11/15/2012
Last updated
05/30/2018
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