MISS Michelle Marie Radar, L/PTA
NPI #1376859942 in Washington, Illinois
Provider Information
- NPI Number
- 1376859942
- Entity Type
- Individual
- Name
- MISS Michelle Marie Radar, L/PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- L/PTA
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
Practice Location
- Address
- 1201 NEWCASTLE RD
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-1243
- Phone
- (309) 444-1065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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