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NPI Code Detail

MEDICARE: HENRY PADILLA

MEDICARE:   HENRY  PADILLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA5710MD

General Provider Information

NPI Number : 1295441962
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY PADILLA
Provider Business Mailing Address
First Line : 1105 SPRING ST STE H
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4026
Country : US
Telephone Number : 301-562-1116
Fax Number :
Provider Business Practice Location Address
First Line : 1105 SPRING ST STE H
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4026
Country : US
Telephone Number : 301-562-1116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2023
Last Update Date : 01/26/2023

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Directions to “ HENRY PADILLA ” Practice Location

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