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Individual

MARY BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3965 W 83RD ST, PRAIRIE VILLAGE, KS 66208-5308
(913) 789-9900
(913) 789-9170
Mailing address
3965 W 83RD ST, PRAIRIE VILLAGE, KS 66208-5308
(913) 789-9900
(913) 789-9170

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-04270
KS

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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