Individual
PAM RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1306 WABASH AVE, BELLEVILLE, IL 62220-3370
(618) 234-6876
(618) 234-6150
Mailing address
1306 WABASH AVE, BELLEVILLE, IL 62220-3370
(618) 234-6876
(618) 234-6150
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
09/11/2025
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