Individual
KELSEY NICOLE RADDAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
501 STATE ST N, WASECA, MN 56093-2811
(507) 781-8261
Mailing address
501 STATE ST N, WASECA, MN 56093-2811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10016
MN
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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