Individual
JORDAN RADEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4109 WAKE FOREST RD STE 200, RALEIGH, NC 27609-6262
(919) 322-0042
Mailing address
2411 TONY TANK LN APT 208, RALEIGH, NC 27613-3860
(720) 339-0512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23852
NC
Other
Enumeration date
03/12/2025
Last updated
03/14/2025
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