Individual
MRS. ERIN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 N ORCHARD AVE, FARMINGTON, NM 87401-6225
(505) 325-8231
Mailing address
2401 AVERY LN, FARMINGTON, NM 87402-1906
(505) 330-0818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0920
NM
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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