CRYSTAL DOMINIQUE RANDOLPH

MOORESVILLE, NC
NPI1265156426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  11941)
Enumeration Date2022-09-30
Last Update Date2024-04-16
Business Address
CRYSTAL DOMINIQUE RANDOLPH COTA/L
134 INFIELD CT
MOORESVILLE, NC 28117-8026
Phone number: 704-799-6824
Mailing Address
CRYSTAL DOMINIQUE RANDOLPH COTA/L
134 INFIELD CT
MOORESVILLE, NC 28117-8026
Phone number: