Individual
MS. CLAIR JOHANNA RADLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
(903) 589-5300
Mailing address
216 S 29TH ST, HARRISBURG, PA 17103-1916
(302) 358-7380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2086750
TX
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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