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Individual

ELIZABETH R BUTLER VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23 SPACKENKILL RD, POUGHKEEPSIE, NY 12603-5317
(845) 453-8765
Mailing address
5006 GOLLIHUGH BLVD, BEAUFORT, SC 29906-6708

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
NY
225X00000X
Occupational Therapist
017472-1
NY
225X00000X
Occupational Therapist
Primary
7167
SC

Other

Enumeration date
12/11/2008
Last updated
08/20/2025
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