Individual
SANDY RADWANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CMT
Contact information
Practice address
W7045 SILVERNALE LANE, LADYSMITH, WI 54848
(715) 532-9355
Mailing address
W7045 SILVERNALE LANE, LADYSMITH, WI 54848
(715) 532-9355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1211-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1211-026
OTR
WI
01
—
2661-046
MASSAGE THERAPIST
WI
01
—
AA289827
NBCOT
—
Enumeration date
05/23/2007
Last updated
07/08/2007
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