Doctor Name: | BRETT L BUDA |
NPI Number: | 1073857678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 05010978A |
Business Practice Address: | 25609 Country Club Dr South Bend, IN - 466194581 |
Business Phone Number: | 5745327398 |
Business Fax Number: | |
Mailing Address: | 25609 Country Club Dr, SOUTH BEND |
State: | IN |
Postal Code: | 466194581 |
Phone Number: | 5745327398 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05010978A |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |