IndividualActive
Anne Randall, BS
NPI 1083746705 · Pediatric Physical Therapist · San Diego, CA
Provider details
- NPI number
- 1083746705
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10222 (CA)
Practice location
6160 Mission Gorge Rd
Suite 400
San Diego, CA 92120-3410
Phone: (619) 528-4000
Mailing address
5625 Aztec Dr
La Mesa, CA 91942-1947
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.