Provider Demographics
NPI:1730070319
Name:RANDELL, MARGARET (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:RANDELL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 LASWELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2231
Mailing Address - Country:US
Mailing Address - Phone:831-331-9803
Mailing Address - Fax:
Practice Address - Street 1:300 DIGITAL DR
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-2896
Practice Address - Country:US
Practice Address - Phone:669-888-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist