Individual
ADRIENNE D. RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
(301) 816-7170
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE-ATTN:SANJAY MATHUR DATA MGMT DPT 3 W, ROCKVILLE, MD 20852-4908
(301) 816-7446
(301) 816-7174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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