Individual
JONATHAN RADELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1124 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5236
(405) 582-2105
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(817) 406-6179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
04/02/2024
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