Provider Demographics
NPI:1679249361
Name:BUDINGER, NEIL ALEXANDRA (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:ALEXANDRA
Last Name:BUDINGER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:NEIL
Other - Middle Name:ALEXANDRA
Other - Last Name:JUDD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2721 TROTTERS LN APT 204-9
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-4847
Mailing Address - Country:US
Mailing Address - Phone:434-509-2828
Mailing Address - Fax:
Practice Address - Street 1:901 MADRONA ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4706
Practice Address - Country:US
Practice Address - Phone:804-464-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-21
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119008767225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist