Raphael Augustus Sadiwa, PT, DPT

NPI #1063245561 in Southlake, Texas

Provider Information

NPI Number: 1063245561
Entity Type: Individual
Name: Raphael Augustus Sadiwa, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 21, 2024
Last Updated: Aug 21, 2024

Practice Location

Address: 180 STATE ST STE 225
City: Southlake
State: Texas
ZIP Code: 76092-7632
Phone: (866) 839-6979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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