Individual
MARY M BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2230 ASHLEY CROSSING DRIVE, CHARLESTON, SC 29414
(843) 766-5228
Mailing address
1342 ASHLEY HALL ROAD, CHARLESTON, SC 29407
(803) 917-1544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2794
SC
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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