Individual
MS. JULIE RADICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-3466
(973) 972-5725
Mailing address
24 HUTTON AVE APT 29, WEST ORANGE, NJ 07052-4833
(973) 736-1647
(973) 972-5725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00150400
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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