NPI 1184166696

Amy Randol

Practitioner Occupational Therapist Ashburn, VA

Practice location

Address: 21160 Maple Branch Ter, Ashburn, VA 20147-6160
Phone: (571) 291-6192

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 0119006684 (VA)

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Registry record

NPI: 1184166696
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2016
Record last updated: 15 Nov 2016

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.