Individual
MARK STEVEN RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
2300 FAIR DR, KNOXVILLE, TN 37918-2321
(631) 294-5903
Mailing address
2300 FAIR DR, KNOXVILLE, TN 37918-2321
(631) 294-5903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028046
NY
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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