Individual
DARLA UNIQUE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3630 MISSION AVE, CARMICHAEL, CA 95608-2933
(916) 488-1580
Mailing address
5018 MARCONI AVE APT 144, CARMICHAEL, CA 95608-4255
(916) 701-7565
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3490
CA
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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