Randolph, Beverly Michelle

Randolph, Beverly Michelle is an individual health care provider with primary practice located at 810 S Broom St Suite B, Wilmington DE 19805-4245. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Randolph, Beverly Michelle can be contacted via phone (302) 652-1181.

Contact Information

Primary practice address
810 S Broom St Suite B Wilmington DE 19805-4245
Phone: (302) 652-1181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J10001461 Delaware

Profile Details

NPI number 1265413280
LBN Legal business name Randolph, Beverly Michelle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 20th, 2014 - about 11 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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