Tracy L Radke, OT

NPI #1659489458 in Weston, Wisconsin

Provider Information

NPI Number: 1659489458
Entity Type: Individual
Name: Tracy L Radke, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3402 HOWLAND AVE
Address 2: SUITE 100
City: Weston
State: Wisconsin
ZIP Code: 54476-5633
Phone: (715) 355-5701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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