Randall Depasquale, OTR/L
Occupational Therapist in West Melbourne, FL. Individual provider (NPI-1).
NPI number1801503552
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1801503552
- Entity type
- Individual (NPI-1)
- Name
- Randall Depasquale
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
2395 Minton RdWest Melbourne, FL 32904-6607
Phone 631-220-0295
Mailing address
785 Boughton WayWest Melbourne, FL 32904-8721
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