Individual
NORA RADAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 SAGE ST, ROCK SPRINGS, WY 82901-7478
(307) 362-3780
Mailing address
2722 CHERRYWOOD LN, ROCK SPRINGS, WY 82901-4346
(307) 350-6592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0360
WY
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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