| Doctor Name: | WENDY RADIN |
| NPI Number: | 1174772321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5600 Post Rd East Greenwich, RI - 028183400 |
| Business Phone Number: | 4013982639 |
| Business Fax Number: | 4013982659 |
| Mailing Address: | 5600 Post Rd, EAST GREENWICH |
| State: | RI |
| Postal Code: | 028183400 |
| Phone Number: | 4013982639 |
| Fax Number: | 4013982659 |
| NPI Enumeration Date: | 09/11/2008 |
| NPI Last Update Date: | 09/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |