Ammondson, Randall J

Ammondson, Randall J is an individual health care provider with primary practice located at 4502 Nw Scenic Dr , Peoria IL 61615-3756. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Ammondson, Randall J can be contacted via phone (309) 682-3743.

Contact Information

Primary practice address
4502 Nw Scenic Dr Peoria IL 61615-3756
Phone: (309) 682-3743
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.005495 Illinois

Profile Details

NPI number 1437480233
LBN Legal business name Ammondson, Randall J
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2010
Last updated Jan 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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