Individual
KELSEY BUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795-1321
(301) 582-5401
Mailing address
14 LOUDON RD, MERCERSBURG, PA 17236-1718
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02323
MD
224Z00000X
Occupational Therapy Assistant
OP008470
PA
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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