Healthcare Provider Details

I. General information

NPI: 1730070319
Provider Name (Legal Business Name): MARGARET RANDELL MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 DIGITAL DR
MORGAN HILL CA
95037-2896
US

IV. Provider business mailing address

388 LASWELL AVE
SAN JOSE CA
95128-2231
US

V. Phone/Fax

Practice location:
  • Phone: 669-888-3636
  • Fax:
Mailing address:
  • Phone: 831-331-9803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: