| Doctor Name: | JULIE C RANDALL |
| NPI Number: | 1629006473 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 020542-1 |
| Business Practice Address: | 6319 Fly Rd Suite 3 East Syracuse, NY - 130579357 |
| Business Phone Number: | 3154106200 |
| Business Fax Number: | 3154512095 |
| Mailing Address: | 7455 Morgan Rd, Suite 2 LIVERPOOL |
| State: | NY |
| Postal Code: | 130903956 |
| Phone Number: | 3154516767 |
| Fax Number: | 3154510569 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 04/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 020542-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |