MEDICARE: MR. DONALD WILLIAM RADLINSKI P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	06849	OH

General Provider Information

NPI Number	:	1336114594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD WILLIAM RADLINSKI P.T.

Provider Business Mailing Address
First Line	:	3780 RIDGE MILL DR
Second Line	:	STE 200
City	:	HILLIARD
State	:	OH
Zip	:	43026-7458
Country	:	US
Telephone Number	:	614-433-4513
Fax Number	:	614-334-0849

Provider Business Practice Location Address
First Line	:	3780 RIDGE MILL DR
Second Line	:	STE 200
City	:	HILLIARD
State	:	OH
Zip	:	43026-7458
Country	:	US
Telephone Number	:	614-334-5135
Fax Number	:	614-334-0849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	09/15/2011

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