Individual
TALEAH MONET BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1701 E WILLOW GROVE AVE, GLENSIDE, PA 19038-7240
(267) 357-1134
Mailing address
1701 E WILLOW GROVE AVE, GLENSIDE, PA 19038-7240
(267) 357-1134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013466
PA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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