Provider Demographics
NPI:1851569040
Name:MCQUISTION, RANDI RAE (COTA)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:RAE
Last Name:MCQUISTION
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 280TH ST
Mailing Address - Street 2:APT D
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620
Mailing Address - Country:US
Mailing Address - Phone:605-280-0817
Mailing Address - Fax:
Practice Address - Street 1:301 N 13TH ST
Practice Address - Street 2:
Practice Address - City:ST EDWARD
Practice Address - State:NE
Practice Address - Zip Code:68660
Practice Address - Country:US
Practice Address - Phone:402-678-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE789224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant