Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA CAROL RANDOLPH, COTA
Active Sole ProprietorMELISSA CAROL RANDOLPH, COTA is a Occupational Therapy Assistant healthcare provider located in LADY LAKE, Florida. NPI 1285935767 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LADY LAKE, FL
Registration Details
- NPI Number
- 1285935767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2010 (15.759476373494 yrs)
- Last Updated
- Jul 18, 2014
- License
-
OTA11420 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13940 N US HIGHWAY 441LADY LAKE, FL, 321598908Browse FL providers · Browse ZIP 32159
- Phone
- 3527501095
- Fax
- 3527501096
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LADY LAKE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. SAMMIE SHARIFF BARNES JR. | — | 1578952362 |
| KRISTYN RENE TALABER | COTA/L | 1417477894 |
| IVANA LAZIC | COTA | 1952868895 |
| GLENDORA WHITLOW JOHNSON | — | 1780142323 |
| DANIELLE LAUREANO | COTA/L | 1710676077 |
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.