Individual
CHRISTINE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
Mailing address
252 W 102ND ST APT 4, NEW YORK, NY 10025-4967
(918) 760-4405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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