Individual provider · Type 1 NPI

Anne Willy Randall, BS

Pediatric Physical Therapist · San Diego, CA

NPI number 1083746705 Active

Practice location

6160 Mission Gorge Rd, Suite 400
San Diego, CA 92120-3410

Call (619) 528-4000 Map

Mailing address

5625 Aztec Dr
La Mesa, CA 91942-1947

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X10222 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1083746705

Anne Willy Randall, BS's National Provider Identifier is 1083746705, issued on Mar 9, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.