Individual
MRS. NICOLE RALSTON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3400
(325) 793-3587
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209967
TX
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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