Individual
MRS. VERONICA LATONYA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6025 PRIMACY PKWY, MEMPHIS, TN 38119-5763
(901) 767-1040
Mailing address
4101 VIRIDIAN VILLAGE DR APT 4321, ARLINGTON, TX 76005-4562
(901) 737-9008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120834
TX
225X00000X
Occupational Therapist
3020
TN
Other
Enumeration date
08/07/2008
Last updated
10/11/2021
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