Individual
MR. TERENCE SEALANA PADRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3811 PARNELL AVE, FORT WAYNE, IN 46805-1409
(260) 482-4651
(260) 483-9505
Mailing address
324 FOX ORCHARD RUN, FORT WAYNE, IN 46825
(260) 490-7690
(260) 490-7690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008247A
IN
2251G0304X
Geriatric Physical Therapist
05008247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266090
—
IN
Enumeration date
07/03/2007
Last updated
09/11/2025
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