Individual provider · Type 1 NPI
Benjamin Randall, ATC
Other Specialist/Technologist · Orono, ME
NPI number
1184089203
Active
Practice location
5747 Memorial Gym University Of Maine
Orono, ME 04469-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | AT509 (ME) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1184089203
Benjamin Randall, ATC's National Provider Identifier is 1184089203, issued on Dec 16, 2015. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Orono, ME. The record was last updated on Dec 16, 2015.