Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVANGELINE R RANDALL, OT
Active Sole ProprietorEVANGELINE R RANDALL, OT is a Occupational Therapist healthcare provider located in DEMING, New Mexico. NPI 1235807843 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DEMING, NM
Registration Details
- NPI Number
- 1235807843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2021 (4.9137519015798 yrs)
- Last Updated
- Aug 31, 2021
- License
-
OT4290 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1321 E POPLAR STDEMING, NM, 880304807Browse NM providers · Browse ZIP 88030
- Phone
- 5755465951
- Fax
- 5755465994
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in DEMING, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. VIRGINIA NICHOLLS ALDEA | OTR/L | 1912142316 |
| MR. ADAM WESTENHOFER | OTR/L, CHT | 1679995625 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.