Individual
TOBI BUTLER MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 CONCORD RDG, WARNER ROBINS, GA 31093-8940
(478) 396-7275
Mailing address
101 CONCORD RDG, WARNER ROBINS, GA 31093-8940
(478) 396-7275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005098
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125213A
—
GA
Enumeration date
06/21/2012
Last updated
04/22/2016
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