Individual
MIRANDA RADCLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
99 GOLDEN HILL DR, KINGSTON, NY 12401-6442
(845) 340-3390
Mailing address
307 S EAST ST, MORRAL, OH 43337-9311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011569-1
NY
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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