Individual
BRIAN T PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1460 DREW AVE STE 200, DAVIS, CA 95618-4856
(530) 753-9011
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689606469
PHYSICAL EDGE, INC.
CA
01
—
1770675639
PHYSICAL EDGE, INC.
CA
Enumeration date
10/14/2006
Last updated
07/29/2015
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