Individual
ELIZABETH J BUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MOT
Contact information
Practice address
2553 WYE OAK LN, SARASOTA, FL 34232-4374
(941) 592-8886
Mailing address
2553 WYE OAK LN, SARASOTA, FL 34232-4374
(941) 592-8886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23262
FL
225X00000X
Occupational Therapist
OT12128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891872400
—
FL
01
—
OT12128
STATE LICENSE NUMBER
FL
01
—
PT23262
STATE PT LICENSE NUMBER
FL
Enumeration date
01/11/2007
Last updated
11/28/2011
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