| Mark Steven Randazzo, MS, OTR/L | |
|
2300 Fair Dr, Knoxville, TN 37918-2321 | |
| (631) 294-5903 | |
| Not Available |
| Full Name | Mark Steven Randazzo |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2300 Fair Dr, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992483671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 028046 (New York) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Steven Randazzo, MS, OTR/L 2300 Fair Dr, Knoxville, TN 37918-2321 Ph: (631) 294-5903 | Mark Steven Randazzo, MS, OTR/L 2300 Fair Dr, Knoxville, TN 37918-2321 Ph: (631) 294-5903 |
Cailin Elise Capra, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2937 Tazewell Pike, Knoxville, TN 37918 Phone: 865-328-7370 | |
Stephanie Ann Krape, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1708 Blackwood Dr, Knoxville, TN 37923 Phone: 606-682-3461 | |
Shakendra Marr, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932 Phone: 865-392-2849 | |
Kelly Marie Kinne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932 Phone: 207-459-8838 | |
Michele Miles, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 Phone: 615-614-8833 | |
Brittany Powers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2929 Tazewell Pike, Knoxville, TN 37918 Phone: 615-614-8833 Fax: 615-614-8811 | |
Crystal Henley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 S Peters Rd, Knoxville, TN 37923 Phone: 865-221-1280 |