Individual
LOIS IRISA BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14901 CAREY RD, CARMEL, IN 46033-6000
(877) 407-3422
(877) 407-4329
Mailing address
1100 S CURRY PIKE, BLOOMINGTON, IN 47403-2629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006103A
IN
225X00000X
Occupational Therapist
356927
IN
Other
Enumeration date
08/09/2016
Last updated
04/16/2025
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