Jacob Radden, PT, DPT, PES

NPI #1588389829 in O Fallon, Illinois

Provider Information

NPI Number
1588389829
Entity Type
Individual
Name
Jacob Radden, PT, DPT, PES
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT, PES
Enumeration Date
Oct 10, 2022
Last Updated
Oct 10, 2022

Practice Location

Address
821 W HIGHWAY 50 STE 150
ZIP Code
62269-1828
Phone
(618) 726-0370

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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