John Byron Radzak

NPI #1215267141 in Two Harbors, Minnesota

Provider Information

NPI Number: 1215267141
Entity Type: Individual
Name: John Byron Radzak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 26, 2009
Last Updated: Dec 26, 2009

Practice Location

Address: 3727 SPLIT ROCK LIGHTHOUSE RD
City: Two Harbors
State: Minnesota
ZIP Code: 55616-2020
Phone: (218) 220-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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