Doctor Name: | DR. NOELLE GILSON BUDROVICH |
NPI Number: | 1003902735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT17060 |
Business Practice Address: | 2842 Sepulveda Blvd Torrance, CA - 905052803 |
Business Phone Number: | 3103250800 |
Business Fax Number: | 3103257705 |
Mailing Address: | 2842 Sepulveda Blvd, TORRANCE |
State: | CA |
Postal Code: | 905052803 |
Phone Number: | 3103250800 |
Fax Number: | 3103257705 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | PT17060 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |