Individual
MR. MICHAEL BLAINE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
23 ROBINHOOD RD, PITTSBURGH, PA 15220-3013
(412) 341-4479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001745L
PA
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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