Kourtney Randsdorp
Occupational Therapist Occupational Therapist - Gerontology
105 Heritage Rd
Lancaster
, Pennsylvania 17602
Kourtney Randsdorp
Occupational Therapist Occupational Therapist - Gerontology
105 Heritage Rd
Lancaster
, Pennsylvania 17602
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Kourtney Randsdorp
- 105 Heritage Rd
- Lancaster, PA
- Zip : 17602-1597
- Phone :
Second Address
- Kourtney Randsdorp
- 105 Heritage Rd
- Lancaster, PA
- Zip : 17602
- Phone : (717) 572-7966
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Is Kourtney Randsdorp a sole practitioner?
Is Kourtney Randsdorp accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC012565 | PA |
| N | 225XG0600X | Occupational Therapist - Gerontology | 46TR00592700 | NJ |
National Provider Identifier
| NPI | 1710221668 |
|---|---|
| Provider Name | Kourtney Randsdorp |
| First Address | Lancaster, PA 17602-1597 |
| Second Address | Lancaster, PA 17602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2012 |
| Last Update Date | 30/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.