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Individual

KEITH RADKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
2380 ROSSMERE ST, COLORADO SPRINGS, CO 80919-4837
(919) 257-7930
Mailing address
2380 ROSSMERE ST, COLORADO SPRINGS, CO 80919-4837
(919) 257-7930

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004497
CO

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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