Individual
TIFFANY BUDDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 DATA DR STE 400, RANCHO CORDOVA, CA 95670-7341
(916) 564-5010
Mailing address
3320 DATA DR STE 400, RANCHO CORDOVA, CA 95670-7341
(916) 564-5010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4065
CA
Other
Enumeration date
09/28/2017
Last updated
10/21/2024
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