Provider Demographics
NPI:1346470713
Name:PADILLA, CLAUDIA LIZETTE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:LIZETTE
Last Name:PADILLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 CITRUS TRAIL CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-1829
Mailing Address - Country:US
Mailing Address - Phone:859-619-4452
Mailing Address - Fax:
Practice Address - Street 1:184 CITRUS TRAIL CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-1829
Practice Address - Country:US
Practice Address - Phone:859-619-4452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004236225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist