Individual
MR. JUDE DANA PADEZANIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7979 MARKET ST, WILMINGTON, NC 28411-9383
(910) 686-6845
(910) 686-6837
Mailing address
7979 MARKET ST, WILMINGTON, NC 28411-9383
(910) 686-6845
(910) 686-6837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1299T
BCBS
NC
Enumeration date
05/09/2006
Last updated
07/08/2007
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