Individual
DENNIECE MARQUIS BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 APPIA WAY, COVINGTON, GA 30014-8022
(678) 920-1557
Mailing address
15 APPIA WAY, COVINGTON, GA 30014-8022
(678) 920-1557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007786
OCCUPATIONAL THERAPIST
GA
Enumeration date
08/25/2021
Last updated
08/25/2021
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