Individual
MARK WILLIAM BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
128 ROUTE 70, SUITE 2C, MEDFORD, NJ 08055-2371
(609) 953-7227
Mailing address
117 PINE CONE TRL, MEDFORD, NJ 08055-9166
(609) 953-7005
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
40QA00453100
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
PT030126
PA
Other
Enumeration date
05/20/2006
Last updated
01/31/2022
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