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Individual

JOANNE RADKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
678 LA SALLE DR, ALTAMONTE SPRINGS, FL 32714-1322
(407) 682-1835
(407) 682-1835
Mailing address
678 LA SALLE DR, ALTAMONTE SPRINGS, FL 32714-1322

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11626
FL

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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