Individual
CRYSTAL MARIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
90 SW 91ST AVE APT 110, PLANTATION, FL 33324-2559
(954) 707-8026
Mailing address
90 SW 91ST AVE APT 110, PLANTATION, FL 33324-2559
(954) 707-8026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15005
FL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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