Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN RANDALL
ActiveSUSAN RANDALL is a Occupational Therapy Assistant healthcare provider located in WHITE HALL, Illinois. NPI 1922784347 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WHITE HALL, IL
Registration Details
- NPI Number
- 1922784347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2023 (3.1405562812491 yrs)
- Last Updated
- Jun 22, 2023
- License
-
057.005744 (IL)
Practice Information
- Address
-
620 W BRIDGEPORT STWHITE HALL, IL, 620921001Browse IL providers · Browse ZIP 62092
- Phone
- 2173742144
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in WHITE HALL, IL
| Name | Credential | NPI |
|---|---|---|
| ASHLEY GRAHAM | COTA/L | 1790379568 |
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.