Individual provider · Type 1 NPI

Crystal Dominique Randolph, COTA/L

Occupational Therapy Assistant · Mooresville, NC

NPI number 1265156426 Active

Practice location

134 Infield Ct
Mooresville, NC 28117-8026

Call (704) 799-6824 Map

Fax (704) 799-6825

Other practice locations

  • 2701 Chestnut Station Ct, Louisville, KY 40299-6395 · (800) 335-1060

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X11941 (NC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

186 other providers at this address

Other occupational therapy assistant providers in Mooresville

See all in Mooresville →

About NPI 1265156426

Crystal Dominique Randolph, COTA/L's National Provider Identifier is 1265156426, issued on Sep 30, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mooresville, NC. The record was last updated on Apr 16, 2024.