NPI 1003584616

Nicole Summer Randall, PTDPT

Practitioner Physical Therapist Orlando, FL

Practice location

Address: 3909 S Summerlin Ave, Orlando, FL 32806-6905
Phone: (407) 317-3200
Mailing address: 2699 Lee Rd STE 330, Winter Park, FL 32789-1740

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 37524 (FL)

Other Physical Therapist providers in Florida →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Registry record

NPI: 1003584616
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2021
Record last updated: 31 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.