Individual
ALPHONSO BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1350 SAINT FRANCIS ST, REDWOOD CITY, CA 94061-2145
(650) 219-9290
Mailing address
1350 SAINT FRANCIS ST, REDWOOD CITY, CA 94061-2145
(650) 219-9290
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10771
CA
Other
Enumeration date
04/15/2010
Last updated
05/14/2015
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