MS. Karenanne Leilani Radich, P.T.

NPI #1427390665 in Gualala, California

Provider Information

NPI Number: 1427390665
Entity Type: Individual
Name: MS. Karenanne Leilani Radich, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 26, 2013
Last Updated: Feb 20, 2014

Practice Location

Address: 38550 S HIGHWAY 1 STE B
City: Gualala
State: California
ZIP Code: 95445-8592
Phone: (707) 884-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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