Individual
MRS. RANDI MOAK RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, SCS
Contact information
Practice address
4098 LIBRA DR RM 114, ORLANDO, FL 32816-7123
(407) 823-0377
Mailing address
1845 MILES CT, MAITLAND, FL 32751-3456
(601) 730-2137
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT26629
FL
Other
Enumeration date
02/09/2013
Last updated
09/14/2022
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