Individual
DR. BENJAMIN MICHAEL RADACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
19319 7TH AVE NE, #108, POULSBO, WA 98370-7442
(360) 779-3777
(360) 779-3797
Mailing address
19319 7TH AVE NE, #108, POULSBO, WA 98370-7442
(360) 779-3777
(360) 779-3797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7373
AZ
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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