Individual
RANDI ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S KINGSHIGHWAY ST, PERRYVILLE, MO 63775-2106
(573) 547-6546
Mailing address
707 RIDGE DR, PERRYVILLE, MO 63775-1427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15937
FL
225X00000X
Occupational Therapist
Primary
2014042823
MO
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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