Provider / Organization | NPI | Date Certified |
---|---|---|
NICOLE CELINE RANDOLPH | 1023746351 | 2022-08-14 |
Nicole Celine Randolph is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023746351. Registration indicates Nicole Celine Randolph is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Nicole Celine Randolph |
Practice Office Address | 8988 S SHERIDAN RD STE Y TULSA, OK US |
Practice Office Telephone | 9182654688 |
Mailing Address | 422 S VICTOR AVE TULSA, OK 741042613 US |
Business Telephone | 9187292569 |
Code | Practice | License No State |
---|---|---|
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |