Individual
SARA MARIE RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2305 SAN LUIS PL, GREEN BAY, WI 54304-5211
(920) 494-2817
Mailing address
850 CENTENNIAL CENTENNIAL CENTRE BLVD., APT. 83, HOBART, WI 54155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1818-019
WI
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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