Provider Demographics
NPI:1629856067
Name:BUDDING BUDDIES THERAPEUTICS
Entity Type:Organization
Organization Name:BUDDING BUDDIES THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MOT/R
Authorized Official - Phone:708-926-4090
Mailing Address - Street 1:12949 S MEADE AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2355
Mailing Address - Country:US
Mailing Address - Phone:708-926-4090
Mailing Address - Fax:
Practice Address - Street 1:12949 S MEADE AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-2355
Practice Address - Country:US
Practice Address - Phone:708-926-4090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty