Individual
BRANDI JANAE RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 E SOONER RD, BLANCHARD, OK 73010-6634
(405) 387-4880
Mailing address
2209 E SOONER RD, BLANCHARD, OK 73010-6634
(405) 387-4880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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