Doctor Name: | MS. RADKA MARES |
NPI Number: | 1710955786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA00547700 |
Business Practice Address: | 7 Dunmore Ave Ewing, NJ - 086181937 |
Business Phone Number: | 6093961505 |
Business Fax Number: | |
Mailing Address: | 342 102nd Ave Se, 110 BELLEVUE |
State: | WA |
Postal Code: | 980046131 |
Phone Number: | 6092163484 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 07/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00547700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |