Organization
MARYANN BUTCHKO OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN BUTCHKO OT (OWNER)
(828) 242-4410
Entity
Organization
Contact information
Practice address
200 ASHELAND AVE, SUITE 200B, ASHEVILLE, NC 28801-4016
(828) 242-4410
Mailing address
200 ASHELAND AVE, SUITE 200B, ASHEVILLE, NC 28801-4016
(828) 242-4410
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
5436
NC
251S00000X
Community/Behavioral Health Agency
Primary
5436
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137X9
BC/BS
NC
Enumeration date
10/07/2009
Last updated
06/01/2010
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