Randolph, Christa Dawn

Randolph, Christa Dawn is an individual health care provider with primary practice located at 306 W Main St , Bridgeport WV 26330-1751. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Randolph, Christa Dawn can be contacted via phone (304) 842-3137.

Contact Information

Primary practice address
306 W Main St Bridgeport WV 26330-1751
Phone: (304) 842-3137
Fax: (304) 842-3138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 002526 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002526 West Virginia

Profile Details

NPI number 1174508121
LBN Legal business name Randolph, Christa Dawn
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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