Individual
RAFAEL NICOLAS PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403
(801) 387-7615
(801) 387-7667
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403
(801) 387-7615
(801) 387-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
322257-2401
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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