Individual
CHRISTINE RADAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1113 SCOTT ST, BRODHEADSVILLE, PA 18322-7109
(484) 695-2972
Mailing address
1113 SCOTT ST, BRODHEADSVILLE, PA 18322-7109
(484) 695-2972
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003417L
PA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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