Rey Christian Imperial Badilla, PT
Physical Therapist in Cape Coral, FL. Individual provider (NPI-1).
NPI number1205300241
StatusActive
Last updated in NPPESJan 13, 2019
Details
- NPI
- 1205300241
- Entity type
- Individual (NPI-1)
- Name
- Rey Christian Imperial Badilla
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2019
- Last updated
- Jan 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT30443 | FL | Yes |
Practice location
1502 Se 36th TerCape Coral, FL 33904-7182
Phone 239-887-0663
Mailing address
1502 Se 36th TerCape Coral, FL 33904-7182
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