Individual
MRS. CARLY MELISSA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
Mailing address
4708 TALL GRASS CT, LA GRANGE, KY 40031-6727
(812) 385-6086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131790
KY
Other
Enumeration date
12/06/2016
Last updated
03/28/2020
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