STEPHANIE MARIE RANDALL

COLUMBIA, MO
NPI1902201478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2011001219)
Enumeration Date2014-10-27
Last Update Date2014-10-27
Business Address
Mrs. STEPHANIE MARIE RANDALL COTA/L
1100 CLUB VILLAGE DR SUITE 103
COLUMBIA, MO 65203-4409
Phone number: 573-256-2777
Mailing Address
Mrs. STEPHANIE MARIE RANDALL COTA/L
1100 CLUB VILLAGE DRIVE SUITE 103
COLUMBIA, MO 65203-9917
Phone number: 573-256-2777