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NPI Code Detail

MEDICARE: MS. CHRISTINE RADOMSKI

MEDICARE: MS. CHRISTINE RADOMSKI
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
1225200000XPhysical Therapy Assistant0013945CO

General Provider Information

NPI Number : 1902356629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINE RADOMSKI
Provider Business Mailing Address
First Line : 2306 GLENARM PL
Second Line : UNIT 103
City : DENVER
State : CO
Zip : 80205-3194
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2016
Last Update Date : 10/05/2016

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Directions to “ MS. CHRISTINE RADOMSKI ” Practice Location

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