Individual
ANNE MACY CHAMBERS RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Mailing address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
162348
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100429800
—
KY
Enumeration date
11/04/2014
Last updated
11/28/2023
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