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Individual

LORISSA BUTKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
Mailing address
8040 BEAVER RD, SAINT CHARLES, MI 48655-9682
(989) 297-5097

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201014107
MI

Other

Enumeration date
12/31/2024
Last updated
01/22/2025
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