Individual
LYDIA C. RADOSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
439 MECHEM DR, RUIDOSO, NM 88345-6813
(505) 257-1800
(505) 257-2319
Mailing address
439 MECHEM DR., RUIDOSO, NM 88345
(505) 257-1800
(505) 257-2319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1781
NM
Other
Enumeration date
07/31/2006
Last updated
08/29/2022
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