Individual
GRACE ANN BUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 S IRELAND PL, AMITYVILLE, NY 11701
(631) 338-7242
Mailing address
30 S IRELAND PL, AMITYVILLE, NY 11701-3615
(631) 338-7242
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
020391-1
NY
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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