Individual
AMANDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 TANDBERG TRL, WINDHAM, ME 04062-6425
(207) 233-7373
Mailing address
57 TANDBERG TRL, WINDHAM, ME 04062-6425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2916
ME
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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