Individual provider · Type 1 NPI

Michelle Marie Radar, L/PTA

Specialist · Washington, IL

NPI number 1376859942 Active

Practice location

1201 Newcastle Rd
Washington, IL 61571-1243

Fax (309) 444-1095

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X160005261 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376859942

Michelle Marie Radar, L/PTA's National Provider Identifier is 1376859942, issued on Aug 20, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Washington, IL. The record was last updated on Aug 20, 2010.