| Doctor Name: | MR. TRISTAN NOEL OLIVA PADOR |
| NPI Number: | 1295871960 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 05006051A |
| Business Practice Address: | 21203 75th Ave Apartment 6f Oakland Gardens, NY - 113643359 |
| Business Phone Number: | 5163144769 |
| Business Fax Number: | 7184640520 |
| Mailing Address: | 21203 75th Ave, Apartment 6f OAKLAND GARDENS |
| State: | NY |
| Postal Code: | 113643359 |
| Phone Number: | 5163144769 |
| Fax Number: | 7184640520 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05006051A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |