Individual
MRS. ALICE JEANETTE RADIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13123 E 16TH AVE, BOX 385, AURORA, CO 80045-7106
(720) 777-1234
(720) 777-7297
Mailing address
13123 E16TH AVE BOX 385, CHILDRENS HOSPITAL CO PHYSICAL THERAPY, AURORA, CO 80045
(720) 777-1234
(720) 777-7297
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 0013282
CO
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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