| Doctor Name: | DR. JACQUELINE RANDA |
| NPI Number: | 1013919349 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT28176 |
| Business Practice Address: | 874 American Pacific Dr Henderson, NV - 890148800 |
| Business Phone Number: | 7027773122 |
| Business Fax Number: | 7027773055 |
| Mailing Address: | 874 American Pacific Dr, HENDERSON |
| State: | NV |
| Postal Code: | 890148800 |
| Phone Number: | 7027773122 |
| Fax Number: | 7027773055 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 07/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT28176 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |