Carrie Radzik, ATC/L, LMT, NMT

NPI #1902165657 in Defiance, Ohio

Provider Information

NPI Number: 1902165657
Entity Type: Individual
Name: Carrie Radzik, ATC/L, LMT, NMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ATC/L, LMT, NMT
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 8081 ADAMS RIDGE RD
City: Defiance
State: Ohio
ZIP Code: 43512-9173
Phone: (419) 497-2112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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