Individual
JORDAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11133 I-45 S., SUITE 190, CONROE, TX 77302
(936) 494-0570
(936) 494-0571
Mailing address
11133 I-45 S., SUITE 190, CONROE, TX 77302
(936) 494-0570
(936) 494-0571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122563
TX
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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