REBECCA RANDALL NPI 1164723151

NPI Information

NPI: 1164723151
Provider Name: REBECCA RANDALL
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
7 MAVERICK ST
CHARLESTON, SC
ZIP 29403
Phone: (843) 882-7115
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Rebecca Randall is a prosthetic orthotic supplier in Charleston, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Rebecca Randall NPI is 1164723151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7 MAVERICK ST
CHARLESTON, SC
ZIP 29403-114
Phone: (843) 882-7115

The enumeration date for this NPI number is 11/8/2010 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	225000000X	Orthotic Fitter	3976	SOUTH CAROLINA	No
2	247200000X	Technician, Other	CFTS3976	SOUTH CAROLINA	No
3	335E00000X	Prosthetic/Orthotic Supplier			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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