Provider Demographics
NPI:1265512149
Name:ENGELHARD, RANDEE GOLDSTEIN (MPT)
Entity type:Individual
Prefix:MRS
First Name:RANDEE
Middle Name:GOLDSTEIN
Last Name:ENGELHARD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 CRYSTAL CT
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2914
Mailing Address - Country:US
Mailing Address - Phone:954-389-5666
Mailing Address - Fax:
Practice Address - Street 1:16606 SADDLE CLUB RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1808
Practice Address - Country:US
Practice Address - Phone:954-660-0551
Practice Address - Fax:954-660-0527
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist