Individual
MS. AMANDA JEANICE BUTTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1505 E STEVE OWENS BLVD, MIAMI, OK 74354-7917
(918) 542-4101
(918) 542-4410
Mailing address
PO BOX 201, WYANDOTTE, OK 74370-0201
(918) 688-5182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3817
OK
Other
Enumeration date
05/09/2007
Last updated
11/04/2013
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