Provider Demographics
NPI:1336114594
Name:RADLINSKI, DONALD WILLIAM (PT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:WILLIAM
Last Name:RADLINSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3780 RIDGE MILL DR
Mailing Address - Street 2:STE 200
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7458
Mailing Address - Country:US
Mailing Address - Phone:614-433-4513
Mailing Address - Fax:614-334-0849
Practice Address - Street 1:3780 RIDGE MILL DR
Practice Address - Street 2:STE 200
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7458
Practice Address - Country:US
Practice Address - Phone:614-334-5135
Practice Address - Fax:614-334-0849
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06849225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RA41881291Medicare PIN