Most Relevant Information
Provider Data
| NPI Number: | 1003374505 |
| Provider Name: | BRAD EDWARD BUDDE PHYSICAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | PT20093 |
Most Important Dates
| Enumeration Date: | 03/04/2019 |
| Last Updated: | 10/09/2019 |
Provider Practice Location
34316 VIA FORTUNA
CAPISTRANO BEACH
CA
926241310
Practice Location Phone/Fax
| Phone: | 9499334515 |
| Fax: |
Provider Mailing Location
34316 VIA FORTUNA
CAPISTRANO BEACH
CA
926241310
Provider Mailing Phone/Fax
| Phone: | 9499334515 |
| Fax: |