Randolph, Deanna
Randolph, Deanna is an individual health care provider with primary practice located at 1801 S 74Th St , Fort Smith AR 72903-2814. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Randolph, Deanna can be contacted via phone (479) 928-0128.Contact Information
Primary practice address
1801 S 74Th St
Fort Smith AR 72903-2814
Phone: (479) 928-0128
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2650 | Arkansas |
Profile Details
NPI number | 1922357995 |
---|---|
LBN Legal business name | Randolph, Deanna |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 5th, 2012 |
Last updated | Sep 5th, 2012 - about 13 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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