Individual
MRS. CONSTANCE RACINE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(447) 784-2520
Mailing address
4630 FAIRVISTA DR, CHARLOTTE, NC 28269-1098
(314) 954-5785
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009697
IL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/12/2012
Last updated
04/18/2025
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