| Michelle Randall, MOTR-L | |
|
980 Bosque Farms Blvd, Bosque Farms, NM 87068-9652 | |
| (505) 554-0052 | |
| Not Available |
| Full Name | Michelle Randall |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 980 Bosque Farms Blvd, Bosque Farms, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407489040 | NPI | - | NPPES |
| 1396354981 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Randall, MOTR-L 2325 Stevens Dr Ne, Albuquerque, NM 87112-1449 Ph: (505) 321-8217 | Michelle Randall, MOTR-L 980 Bosque Farms Blvd, Bosque Farms, NM 87068-9652 Ph: (505) 554-0052 |
Elizabeth Nickless Joyce, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1070 Monte Vista Dr, Bosque Farms, NM 87068 Phone: 505-869-0066 |