Provider Demographics
NPI:1467861724
Name:BUDRA, KATHARINE (DPT)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:BUDRA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SWANSON RD STE 1C
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1968
Mailing Address - Country:US
Mailing Address - Phone:774-772-7070
Mailing Address - Fax:774-772-7071
Practice Address - Street 1:1 SWANSON RD STE 1
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501
Practice Address - Country:US
Practice Address - Phone:774-772-7070
Practice Address - Fax:774-772-7071
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist