Provider Demographics
NPI:1316133028
Name:BUDZEAK, DEBRA LEE (PHYSICAL THERAPIST A)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LEE
Last Name:BUDZEAK
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7912 SWAN RIVER DR
Mailing Address - Street 2:P.O. BOX 230174
Mailing Address - City:IRA
Mailing Address - State:MI
Mailing Address - Zip Code:48023
Mailing Address - Country:US
Mailing Address - Phone:586-716-9186
Mailing Address - Fax:
Practice Address - Street 1:45660 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-6033
Practice Address - Country:US
Practice Address - Phone:586-716-9186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant