Individual
CHRISTOPHER PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
401 ROAD 7, POWELL, WY 82435-9614
(307) 222-8361
Mailing address
1405 KAUSRUD ST, MENOMONIE, WI 54751-4717
(408) 548-9577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
28872
CA
390200000X
Student in an Organized Health Care Education/Training Program
12792
CA
Other
Enumeration date
01/04/2019
Last updated
02/25/2025
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