Provider Demographics
NPI:1295946911
Name:ALIBUDBUD-CARDINES, JULIETA A (PT)
Entity type:Individual
Prefix:
First Name:JULIETA
Middle Name:A
Last Name:ALIBUDBUD-CARDINES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 SUNTREE BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-3388
Mailing Address - Country:US
Mailing Address - Phone:407-414-3606
Mailing Address - Fax:407-677-4115
Practice Address - Street 1:4733 SUNTREE BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-3388
Practice Address - Country:US
Practice Address - Phone:407-414-3606
Practice Address - Fax:407-677-4115
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist