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Miss Michelle Marie Radar, L/PTA
Specialist in Washington, Illinois
NPI 1376859942

Michelle Marie Radar is a Specialist based in Washington, IL. Michelle Marie Radar practices in Washington, IL and has the professional credentials of L/PTA. The NPI Number for Michelle Marie Radar is 1376859942 and holds a License No. 160005261 (Illinois).

The current practice location address for Michelle Marie Radar is 1201 Newcastle Rd, Washington, IL and can be reached out via phone at 309-444-1065 and via fax at 309-444-1095.

Location: 1201 Newcastle Rd, Washington, IL, 61571-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376859942
Provider Name
Michelle Marie Radar
Credential
L/PTA
Provider Entity Type
Individual
Gender
Female
Address
1201 Newcastle Rd, Washington, IL, 61571-1243
Phone Number
309-444-1065
Fax Number
309-444-1095
Provider Enumeration Date
08/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 Newcastle Rd
City
Washington
State
Illinois
Zip
61571-1243
Phone Number
309-444-1065
Fax Number
309-444-1095
person
Provider Business Mailing Address Details
Address
1201 Newcastle Rd
City
Washington
State
Illinois
Zip
61571-1243
Phone Number
309-444-1065
Fax Number
309-444-1095
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
160005261 (Illinois)
Definition
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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