Individual
MRS. AMY LAUREN BUTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
616 CROWS NEST LN, MACEDON, NY 14502-8858
(315) 719-2447
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009734-1
NY
Other
Enumeration date
11/16/2008
Last updated
11/16/2008
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