Individual
PAMELANIE PACATANG RADAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
759 45TH AVE STE 202, MUNSTER, IN 46321-2939
(219) 836-0193
(219) 836-2452
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(219) 922-5528
(219) 922-5526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007642A
IN
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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