Individual provider · Type 1 NPI

Evangeline R. Randall, OT

Occupational Therapist · Deming, NM

NPI number 1235807843 Active

Practice location

1321 E Poplar St
Deming, NM 88030-4807

Fax (575) 546-5994

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT4290 (NM)

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 1235807843

Evangeline R. Randall, OT's National Provider Identifier is 1235807843, issued on Aug 31, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Deming, NM. The record was last updated on Aug 31, 2021.