Individual
NANCY E RADOMICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
2309 ANGEL DR, WILMINGTON, DE 19808-2525
(302) 994-8338
Mailing address
2309 ANGEL DR, WILMINGTON, DE 19808-2525
(302) 994-8338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-000013A
DE
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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