Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Anne Willy Randall, BS

Individual provider Pediatric Physical Therapist · NPI 1083746705

Mrs. Anne Willy Randall, BS is a Pediatric Physical Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

6160 Mission Gorge Rd Ste 400
San Diego, CA 92120-3410
Phone: (619) 528-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 10222 (CA)

Record details

NPI number1083746705
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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