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Individual

MARCIA RADDATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7200
Mailing address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7200

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
310-019
WI

Other

Enumeration date
09/12/2007
Last updated
07/19/2016
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