NPI 1396947602

Colleen Sue Radak, PTA

Practitioner Physical Therapy Assistant Independence, OH

Practice location

Address: 4511 Rockside Rd Suite 330, Independence, OH 44131-2199
Phone: (216) 901-0401
Mailing address: 3020 Bramblewood Dr, Broadview Heights, OH 44147-2012

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 559 (OH)

Other Physical Therapy Assistant providers in Ohio →

Registry record

NPI: 1396947602
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.