Provider Demographics
NPI:1386251650
Name:BUDA, ROXANA (DPT)
Entity type:Individual
Prefix:
First Name:ROXANA
Middle Name:
Last Name:BUDA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-1712
Mailing Address - Country:US
Mailing Address - Phone:440-334-3663
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:2825 CARTER RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1712
Practice Address - Country:US
Practice Address - Phone:440-334-3663
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018696225100000X
SCPT10441225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist