Individual
MARY RADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 SAPLING HILL WAY, GAITHERSBURG, MD 20877-3546
(216) 338-6728
Mailing address
220 SAPLING HILL WAY, GAITHERSBURG, MD 20877-3546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
#A4206
MD
225200000X
Physical Therapy Assistant
09567
OH
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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