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Individual
KANDICE BUTCHER
Active
Individual
KANDICE BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J2101396318
—
NY
Enumeration date
05/25/2006
Last updated
06/11/2024
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