NPI 1174508121

Christa Dawn Randolph, MPT

Practitioner Physical Therapist Bridgeport, WV

Practice location

Address: 306 W Main St, Bridgeport, WV 26330-1751
Phone: (304) 842-3137
Fax: (304) 842-3138

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 002526 (WV)

Other Physical Therapist providers in West Virginia →

Specialist

Other Service Providers Taxonomy 174400000X Licence 002526 (WV)

Other Specialist providers in West Virginia →

Registry record

NPI: 1174508121
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2005
Record last updated: 12 Jul 2012

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.