Individual
MRS. VERGIA HEADSPETH-RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
04264
MD
174H00000X
Health Educator
OT100000126
DC
225X00000X
Occupational Therapist
Primary
100000126
DC
225X00000X
Occupational Therapist
OT100000126
DC
Other
Enumeration date
06/30/2010
Last updated
01/19/2025
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