Individual
BARBARA ANN RADONICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4606 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4200
(253) 565-3551
(253) 565-4535
Mailing address
4606 BRIDGEPORT WAY W, SUITE C, UNIVERSITY PLACE, WA 98466-4200
(253) 565-3551
(253) 565-4535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000677
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7041437
—
WA
Enumeration date
11/11/2005
Last updated
02/16/2012
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