Randolph, Melissa Carol

Randolph, Melissa Carol is an sole proprietor health care provider with primary practice located at 13940 N Us Highway 441 , Lady Lake FL 32159-8908. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Randolph, Melissa Carol can be contacted via phone (352) 750-1095.

Contact Information

Primary practice address
13940 N Us Highway 441 Lady Lake FL 32159-8908
Phone: (352) 750-1095
Fax: (352) 750-1096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA11420 Florida

Profile Details

NPI number 1285935767
LBN Legal business name Randolph, Melissa Carol
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Jul 18th, 2014 - about 12 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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