Radtka, Sandra Ann

Radtka, Sandra Ann is an sole proprietor health care provider with primary practice located at 1600 Holloway Ave , San Francisco CA 94132-1722. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Radtka, Sandra Ann can be contacted via phone (415) 338-6967.

Contact Information

Primary practice address
1600 Holloway Ave San Francisco CA 94132-1722
Phone: (415) 338-6967
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT8123 California

Profile Details

NPI number 1972654390
LBN Legal business name Radtka, Sandra Ann
Credentials PT, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972654390 NPPES
California MEDICAID PT0081230

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