Individual
RANDELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2990 E RAMON RD, PALM SPRINGS, CA 92264-7931
(760) 323-2638
Mailing address
20 VIA VALVERDE, CATHEDRAL CITY, CA 92234-1528
(760) 323-2638
(760) 323-1723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2098
CA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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