Individual
JOHN PADURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2300 WATKINS LAKE RD, WATERFORD, MI 48328-1439
(248) 618-6362
Mailing address
2083 ROMAN CT, WARREN, MI 48092-2185
(586) 202-1036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011179
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501011179
PHYSICAL THERAPIST LICENS
MI
Enumeration date
05/21/2007
Last updated
03/17/2018
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