Individual
MRS. JILL RENEE BUTKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-3466
Mailing address
819 ASH ST, SPOONER, WI 54801-1201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4174-026
WI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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