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BRAD EDWARD BUDDE PHYSICAL THERAPIST

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003374505

Individual Registrant:
 BRAD EDWARD BUDDE PHYSICAL THERAPIST
Gender: M
Sole Proprietor

Location and contact information for practice:
34316 VIA FORTUNA  CAPISTRANO BEACH, CA 92624-1310 US
Tel: 949-933-4515  Fax: --

Contact information for business:
34316 VIA FORTUNA  CAPISTRANO BEACH, CA 92624-1310 US
Tel: 949-933-4515  Fax: --

Registration Information:
NPI: 1003374505
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
CAPT20093

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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