Individual
MALIA BUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(973) 405-1322
Mailing address
726 S POTOMAC ST, BALTIMORE, MD 21224-3955
(973) 405-1322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28385
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305212579
VA PT LICENSE NUMBER
VA
01
—
28385
MD PT LICENSE NUMBER
MD
Enumeration date
07/13/2021
Last updated
07/13/2021
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