Individual
VALERIE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2323 JENSEN ST, ENUMCLAW, WA 98022-3605
(360) 825-2541
Mailing address
PO BOX 257, SOUTH PRAIRIE, WA 98385-0257
(360) 897-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000585
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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