Provider Demographics
NPI:1043690308
Name:BUDDEMEIER, NEHA (DPT)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:BUDDEMEIER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:SAIYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:833 CHESTNUT ST 1402
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4404
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-339-3761
Practice Address - Street 1:1118 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-6104
Practice Address - Country:US
Practice Address - Phone:610-480-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist