Miss. Michelle Marie Radar, L/PTA
Miss. Michelle Marie Radar, L/PTA is a Specialist in Washington, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
1201 Newcastle RdWashington, IL 61571-1243
Phone: (309) 444-1065
Fax: (309) 444-1095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 160005261 (IL) |
|---|
Record details
| NPI number | 1376859942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | L/PTA |
| Sole proprietor | No |
| NPI enumerated | August 20, 2010 |
| Last updated in NPPES | August 20, 2010 |
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