Provider Demographics
NPI:1003680869
Name:SADURAL, DANIEL AEROL PADO (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:AEROL PADO
Last Name:SADURAL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:409 N OAK ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6312
Mailing Address - Country:US
Mailing Address - Phone:682-502-4440
Mailing Address - Fax:682-502-4490
Practice Address - Street 1:409 N OAK ST STE 220
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-6312
Practice Address - Country:US
Practice Address - Phone:682-502-4440
Practice Address - Fax:682-502-4490
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1385416225100000X, 2251X0800X, 2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic