Provider Demographics
NPI:1790033041
Name:BUDD, PUREZA PURAY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:PUREZA
Middle Name:PURAY
Last Name:BUDD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1708
Mailing Address - Country:US
Mailing Address - Phone:508-829-4629
Mailing Address - Fax:
Practice Address - Street 1:29 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1708
Practice Address - Country:US
Practice Address - Phone:508-829-4629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist