Individual
MRS. MARY ELLEN RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5787 SUMMER SIDE LN, SARASOTA, FL 34231-8367
(586) 610-2111
Mailing address
5787 SUMMER SIDE LN, SARASOTA, FL 34231-8367
(586) 610-2111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21992
FL
225200000X
Physical Therapy Assistant
5502000875
MI
Other
Enumeration date
01/21/2010
Last updated
09/03/2014
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