Matthew David Radencic, DPT

NPI #1043749567 in Chesterton, Indiana

Provider Information

NPI Number: 1043749567
Entity Type: Individual
Name: Matthew David Radencic, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 8, 2017
Last Updated: Jun 8, 2017

Practice Location

Address: 1595 S CALUMET RD
City: Chesterton
State: Indiana
ZIP Code: 46304-2388
Phone: (844) 896-0235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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