Individual provider · Type 1 NPI

Jacqueline Randall

Occupational Therapist · Indianapolis, IN

NPI number 1124933817 Active

Practice location

1502 W Edgewood Ave
Indianapolis, IN 46217-9291

Call (317) 791-9031 Map

Fax (317) 791-9001

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31009122A (IN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1124933817

Jacqueline Randall's National Provider Identifier is 1124933817, issued on Aug 17, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 17, 2026.