Janet Buder, PT

Individual provider Active NPI Physical Therapist · Mill Valley, CA

NPI 1104565068 · NPPES record last updated May 31, 2022

Key facts

NPI
1104565068
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
12781 (CA)
Practice address
40 Camino Alto
Mill Valley, CA 94941-2956
Phone
(415) 383-1600
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X 12781 CA Yes

Addresses

Primary practice location

40 Camino Alto
Mill Valley, CA 94941-2956

Mailing address

444 Old Quarry Rd N
Larkspur, CA 94939-2228
Phone (415) 317-1646

Other providers in Mill Valley, CA

All providers in Mill Valley, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.