Doctor Name: | DR. BLAIR ASHLEY BUDER |
NPI Number: | 1285055897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | PT40760 |
Business Practice Address: | 4425 Jamboree Road Suite 170 Newport Beach, CA - 92660 |
Business Phone Number: | 9492285820 |
Business Fax Number: | 9495026490 |
Mailing Address: | 4425 Jamboree Road, Suite 170 NEWPORT BEACH |
State: | CA |
Postal Code: | 92660 |
Phone Number: | 9492285820 |
Fax Number: | 9495026490 |
NPI Enumeration Date: | 12/27/2013 |
NPI Last Update Date: | 12/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT40760 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |