Individual
ALBERTO PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2104 NORTHDALE BLVD NW, #100, COON RAPIDS, MN 55433-3028
(763) 755-5495
Mailing address
2104 NORTHDALE BLVD NW, #100, COON RAPIDS, MN 55433-3028
(763) 755-5495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1529
MN
2255A2300X
Athletic Trainer
RT005383
PA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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