| Evangeline R Randall, OT | |
|
1321 E Poplar St, Deming, NM 88030-4807 | |
| (575) 546-5951 | |
| (575) 546-5994 |
| Full Name | Evangeline R Randall |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1321 E Poplar St, Deming, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235807843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT4290 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Evangeline R Randall, OT 1321 E Poplar St, Deming, NM 88030-4807 Ph: (575) 546-5951 | Evangeline R Randall, OT 1321 E Poplar St, Deming, NM 88030-4807 Ph: (575) 546-5951 |
Vida Therapy Group, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 122 S Gold Ave Ste A, Deming, NM 88030 Phone: 575-283-0200 Fax: 575-283-0238 | |
Mr. Adam Westenhofer, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 S Gold Ave Ste A, Deming, NM 88030 Phone: 575-283-0200 Fax: 575-283-0238 | |
Mrs. Virginia Nicholls Aldea, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N Pearl St, Deming, NM 88030 Phone: 575-544-4663 Fax: 575-544-4665 |