Individual
WHITNEY RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(502) 704-6734
Mailing address
1 N 5TH AVE APT 614, TUCSON, AZ 85701-1822
(785) 416-0205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-00939
KS
224Z00000X
Occupational Therapy Assistant
Primary
5732
AZ
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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